Active NPI
Elaine Ann Armantrout, PT, DSC, ECS
- Physical Therapist
- Oak Harbor, WA
National Provider Identifier
1619012929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00002981
- Practice address
- 785 SE Bayshore Dr
Suite 102
Oak Harbor, WA 98277-3275 - Phone
- (360) 279-8323
- Fax
- (360) 279-8772
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Electrophysiology Physical Therapist | 2251E1300X | PT00002981 | WA | |
| Physical Therapist | 225100000X | PT00002981 | WA | Primary |
Addresses
Primary practice location
785 SE Bayshore Dr
Suite 102
Oak Harbor, WA 98277-3275
Mailing address
3050 38TH Ave W
Seattle, WA 98199-2513
Phone (206) 940-9487
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8445744 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rue - Primavera Occupational & Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
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.
-
- Occupational Therapist
- Oak Harbor, WA
- NPI 1942410907
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424563200000",
"number": "1619012929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 38TH AVE W",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981992513",
"telephone_number": "206-940-9487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 SE BAYSHORE DR",
"address_2": "SUITE 102",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982773275",
"telephone_number": "360-279-8323",
"fax_number": "360-279-8772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMANTROUT",
"first_name": "ELAINE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PT, DSC, ECS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2015-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251E1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": "WA",
"license": "PT00002981",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00002981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8445744",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.