NPIMap

Organization Active NPI

Everett Physical Therapy & Sportsperformance Center PLLC

Doing business as Bellevue Sports Physical Therapy

  • Physical Therapist
  • Bellevue, WA
National Provider Identifier
1508102989
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EVERETT PHYSICAL THERAPY & SPORTSPERFORMANCE CENTER PLLC
Doing business as
Bellevue Sports Physical Therapy
Practice address
1601 116TH Ave NE
Suite 101
Bellevue, WA 98004-3010
Phone
(425) 628-2072
Fax
(425) 341-9056
NPI assigned
Dec 12, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard Binstein
Title
VP/Authorized Official
Phone
(713) 297-7052

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Physical Therapy Clinic/Center 261QP2000X WA

Addresses

Primary practice location

1601 116TH Ave NE
Suite 101
Bellevue, WA 98004-3010

Mailing address

13425 SE 30TH St Ste 2C
Bellevue, WA 98005-4450
Phone (425) 628-2072

Other names 1

  • Bellevue Sports Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Everett Physical Therapy and Sport Performance Center PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13425 SE 30th St
Ste 2C
Bellevue, WA 98005
Phone (425) 628-2072

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508102989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13425 SE 30TH ST STE 2C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054450",
            "telephone_number": "425-628-2072",
            "fax_number": "425-341-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 116TH AVE NE",
            "address_2": "SUITE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043010",
            "telephone_number": "425-628-2072",
            "fax_number": "425-341-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT PHYSICAL THERAPY & SPORTSPERFORMANCE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2022-07-21",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7052"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Sports Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellevue Sports Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.