Active NPI
Georgia Marie Quick, P.T.
- Geriatric Physical Therapist
- Shoreline, WA
National Provider Identifier
1508030644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- PT00000966
- Practice address
- 19303 Fremont Ave N
Shoreline, WA 98133-3800 - Phone
- (206) 546-7428
- NPI assigned
- Apr 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | PT00000966 | WA | Primary |
Addresses
Primary practice location
19303 Fremont Ave N
Shoreline, WA 98133-3800
Mailing address
4040 97TH Ave SE
Mercer Island, WA 98040-4236
Phone (206) 236-6248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00000966 | WA | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crista Ministries | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Skilled Nursing Facility
- Seattle, WA
- NPI 1669606885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208563200000",
"number": "1508030644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 97TH AVE SE",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980404236",
"telephone_number": "206-236-6248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19303 FREMONT AVE N",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981333800",
"telephone_number": "206-546-7428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUICK",
"first_name": "GEORGIA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-19",
"last_updated": "2008-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "WA",
"license": "PT00000966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.