Core Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CORE PHYSICAL THERAPY PC

Doing business as

Belltown Physical Therapy

Practice address

2505 2ND Ave Ste 100
Seattle, WA 98121-1464

Phone

(206) 624-4020

Fax

(206) 443-3999

NPI assigned

Jul 2, 2007

Last updated

Sep 5, 2024By 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

Paul De Beijl, PT, LACNPI 1154466043

Title

Owner

Phone

(206) 623-2220

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Belltown Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Core Physical Therapy PC

  dba Shoreline Physical Therapy

  • Physical Therapy Clinic/Center
  • Shoreline, WA
  • NPI 1134350945

  O20040428000334

  Same enrollment
• Core Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Seattle, WA
  • NPI 1356411011

  O20040428000334

  Same enrollment
• Core Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Seattle, WA
  • NPI 1528322203

  O20040428000334

  Same enrollment
• Core Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Seattle, WA
  • NPI 1659760056

  O20040428000334

  Same enrollment

Locations

Practitioners 1

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.

• Paul De Beijl, PT, L.AC

  • Physical Therapist
  • Seattle, WA
  • NPI 1154466043
  Authorized official Same address or phone

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1568669406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 OLIVE WAY STE 900",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011840",
            "telephone_number": "206-623-2220",
            "fax_number": "206-623-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 2ND AVE STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211464",
            "telephone_number": "206-624-4020",
            "fax_number": "206-443-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "DE BEIJL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-623-2220",
        "authorized_official_credential": "PT, LAC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "144285",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101066",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belltown Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Noah Cordrey
• Carol Cordy, MD
• Dana Cordy, RDN
• Core Physical Therapy PC
• Core Physical Therapy PC
• Core Physical Therapy PC
• Core Psychology Group PLLC
• David M Corella, LICSW
• Amy H. Corey, LICSW
• Jill Corey, ND

• 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 Sep 5, 2024; 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.