Washington Physical Therapy and Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WASHINGTON PHYSICAL THERAPY AND REHABILITATION LLC

Practice address

6725 116TH Ave NE Ste 130
Kirkland, WA 98033-8455

Phone

(425) 820-2110

Fax

(425) 820-2111

NPI assigned

Nov 3, 2006

Last updated

Jun 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael D Lewis, MS, PTNPI 1437236619

Title

Owner

Phone

(425) 820-2110

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Washington Physical Therapy and Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael D Lewis, MS, PT

  • Physical Therapist
  • Kirkland, WA
  • NPI 1437236619
  Medicare reassignment Authorized official
• Carissa Ann Conrad, DPT

  • Orthopedic Physical Therapist
  • Port Townsend, WA
  • NPI 1467607507
  NPD (past)
• Jennifer Fridgen

  • Pediatric Physical Therapist
  • Seattle, WA
  • NPI 1497977276
  NPD (past)
• Heidi Kodeski, PT

  • Physical Therapist
  • Bellevue, WA
  • NPI 1225102700
  NPD (past)
• Howard L Roth, P.T.

  • Physical Therapist
  • Kirkland, WA
  • NPI 1427135052
  NPD (past)
• Michelle Wyemura Parker, DPT

  • Physical Therapist
  • Bellevue, WA
  • NPI 1508826397
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1528147303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 116TH AVE NE STE 130",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338455",
            "telephone_number": "425-820-2110",
            "fax_number": "425-820-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 116TH AVE NE STE 130",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338455",
            "telephone_number": "425-820-2110",
            "fax_number": "425-820-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON PHYSICAL THERAPY AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-820-2110",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7096613",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Physical Therapy and",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Washington Physical Therapy and",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Washington Health Operations LLC (Newport Academy-Axis)
• Washington Health Operations LLC (Newport Academy-Seattle)
• Washington Institute Orthopedic Center
• Washington Orthopedics and Sports Medicine, PC
• Washington Pacific Eye Associates Inc.
• Washington Sports Medicine Associates Inc
• Washington Sports Medicine Institute, LLC (Washington Institute of Sports Medicine)
• Washington Therapy Group, Inc. (Washington Hand Therapy)
• Dominique Washington, LMFTA
• Mira Waszak, OT

• Physical Therapist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.