NPIMap

Organization Active NPI

New Motion Physical Therapy, Inc., PS

  • Physical Therapist
  • Bainbridge Island, WA
National Provider Identifier
1578518668
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NEW MOTION PHYSICAL THERAPY, INC., PS
Practice address
9419 Coppertop Loop NE
Bainbridge Island, WA 98110
Phone
(206) 842-2428
Fax
(206) 842-2890
NPI assigned
May 24, 2006
Last updated
Apr 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Lucas Preble, PT, DPTNPI 1871808592
Title
Physical Therapist/President
Phone
(206) 842-2428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

9419 Coppertop Loop NE
Bainbridge Island, WA 98110

Mailing address

9419 Coppertop Loop NE
Bainbridge Island, WA 98110
Phone (206) 842-2428

Other identifiers 1

IdentifierTypeStateIssuer
0131758OtherWADEPT OF LABOR & INDUSTRIES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040405000631 WA Part B Supplier - Clinic/Group Practice 9638162993 Receives reassigned benefits from 12 practitioners
Practice locations: Bainbridge Island, WA

National Provider Directory

National Provider Directory

Locations

9419 Coppertop Loop NE
Bainbridge Island, WA 98110
Phone (206) 842-2428

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1578518668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9419 COPPERTOP LOOP NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "98110",
            "telephone_number": "206-842-2428",
            "fax_number": "206-842-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9419 COPPERTOP LOOP NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "98110",
            "telephone_number": "206-842-2428",
            "fax_number": "206-842-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MOTION PHYSICAL THERAPY, INC., PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "PREBLE",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "206-842-2428",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIES",
            "identifier": "0131758",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.