Organization Active NPI

Bellingham Sports and Spine Physical Therapy

  • Physical Therapy Clinic/Center
  • Bellingham, WA
National Provider Identifier
1598042632
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 00003493 Issued in WA
Legal business name
BELLINGHAM SPORTS AND SPINE PHYSICAL THERAPY
Practice address
1815 C St
Suite J36
Bellingham, WA 98225-4027
Phone
(360) 303-8044
NPI assigned
Nov 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Authorized official

Name
Ms. Juliana Katherine Bohn, PT,OCS,COMT,FAAOMPT
Title
Physical Therapist/Owner
Phone
(360) 303-8044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT 00003493 WA Primary

Addresses

Primary practice location

1815 C St
Suite J36
Bellingham, WA 98225-4027

Mailing address

1815 C St
Suite J36
Bellingham, WA 98225-4027
Phone (360) 303-8044

Other identifiers 1

IdentifierTypeStateIssuer
2040708MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500595200000",
    "number": "1598042632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 C ST",
            "address_2": "SUITE J36",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254027",
            "telephone_number": "360-303-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 C ST",
            "address_2": "SUITE J36",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254027",
            "telephone_number": "360-303-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLINGHAM SPORTS AND SPINE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2017-07-21",
        "status": "A",
        "authorized_official_last_name": "BOHN",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "360-303-8044",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT,OCS,COMT,FAAOMPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT 00003493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2040708",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.