Individual provider Active NPI

Elizabeth Rose Laush, PT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1609656768
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61474738 Issued in WA
Practice address
4027 Leary Way NW Ste 100
Seattle, WA 98107-5045
Phone
(206) 580-3670
NPI assigned
Oct 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT61474738 WA Primary

Addresses

Primary practice location

4027 Leary Way NW Ste 100
Seattle, WA 98107-5045

Mailing address

8359 29TH Ave NW
Seattle, WA 98117-3822
Phone (206) 851-6545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231120002381 WA Practitioner - Physical Therapist in Private Practice 1456709047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upward Physical Therapy and Wellness LLCGroup PAC ID 5092133678, 8 clinicians

Practice addresses (Care Compare)

6007 12TH Ave S
Seattle, WA 98108-2762
Phone (206) 580-3670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upward Physical Therapy and Wellness LLC CurrentSince Oct 14, 2023 Accepting new patients

Locations

4027 Leary Way NW
Ste 100
Seattle, WA 98107
Phone (206) 580-3670

6007 12th Ave S
Seattle, WA 98108
Phone (206) 580-3670

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1609656768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8359 29TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173822",
            "telephone_number": "206-851-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 LEARY WAY NW STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075045",
            "telephone_number": "206-580-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUSH",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61474738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.