NPIMap

Organization Active NPI

Bay Street Oasis Physical Therapy LLC

  • Physical Therapist
  • Bellingham, WA
National Provider Identifier
1619245396
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00003537 Issued in WA
Legal business name
BAY STREET OASIS PHYSICAL THERAPY LLC
Practice address
301 W Holly St
Suite M6
Bellingham, WA 98225-4361
Phone
(360) 676-8077
Fax
(360) 715-8574
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Ms. Sidney K Anderson, P.T.NPI 1487688115
Title
Physical Therapist
Phone
(360) 676-8077

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 00003537 WA Primary

Addresses

Primary practice location

301 W Holly St
Suite M6
Bellingham, WA 98225-4361

Mailing address

301 W Holly St
Suite M6
Bellingham, WA 98225-4361
Phone (360) 676-8077

Other identifiers 2

IdentifierTypeStateIssuer
7078793MedicaidWA
105059OtherWAL&I OF WA

Other names 1

  • Oasis Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

301 W Holly St
Ste M6
Bellingham, WA 98225
Phone (360) 676-8077

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1619245396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W HOLLY ST",
            "address_2": "SUITE M6",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254361",
            "telephone_number": "360-676-8077",
            "fax_number": "360-715-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HOLLY ST",
            "address_2": "SUITE M6",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254361",
            "telephone_number": "360-676-8077",
            "fax_number": "360-715-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY STREET OASIS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "360-676-8077",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "00003537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7078793",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I OF WA",
            "identifier": "105059",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 8, 2011; 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.