Village Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

00006079 Issued in WA

Legal business name

VILLAGE PHYSICAL THERAPY, LLC

Practice address

5417 Ivanhoe PL NE
Seattle, WA 98105-2838

Phone

(206) 498-8496

NPI assigned

Aug 10, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Deanna E Irwin-Sires, PT, MPT, OCSNPI 1417068289

Title

Owner

Phone

(206) 498-8496

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deanna E. Irwin-Sires, PT

  • Physical Therapist
  • Seattle, WA
  • NPI 1417068289
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1558618322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 NE LATIMER PL",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054954",
            "telephone_number": "206-498-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5417 IVANHOE PL NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052838",
            "telephone_number": "206-498-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "IRWIN-SIRES",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-498-8496",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT, MPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "00006079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Villa, PHD
• Marie Luz Villa, MD
• Enrique Carlos Villacres, MD
• Maria Del Carmen Villafuerte Anguiano
• Village Integrative Care, P.S.
• Village Witch Therapy PLLC
• Vanessa Villaluz, CAA
• Amanda Sue Muyargas Villanueva, PTA
• Betzaida Villanueva
• Christopher Maith Villanueva, RPH

• Physical Therapy Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.