Sammamish Physical Therapy and Sports Rehab PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SAMMAMISH PHYSICAL THERAPY AND SPORTS REHAB PLLC

Practice address

22840 NE 8TH St Ste 102
Sammamish, WA 98074-7263

Phone

(425) 898-8540

Fax

(425) 898-1570

NPI assigned

May 13, 2019

Organization subpart

No

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

Authorized official

Name

Jeremy Carscallen, DPT

Title

Owner

Phone

(949) 836-8710

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1619533932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22840 NE 8TH ST STE 102",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22840 NE 8TH ST STE 102",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747263",
            "telephone_number": "425-898-8540",
            "fax_number": "425-898-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMMAMISH PHYSICAL THERAPY AND SPORTS REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "CARSCALLEN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-836-8710",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Walker DDS PLLC (Sammamish Pediatric Dentistry)
• Safeway Inc (Safeway Pharmacy #0555)
• Sammamish Counseling
• Sammamish Diabetes and Lipid Clinic, PLLC
• Sammamish Family Dental
• Sammamish Physical Therapy, Inc. (Sammamish Physical Therapy and Sports Rehab Clinic)
• Sammamish Vision Center
• Christine Herradura Samson, REGISTERED NURSE
• Eva Sanjines, PHARMACIST
• Manuel A Santiago Carmona, MA

• Physical Therapy Clinic/Center in Sammamish, WA
• Providers in Sammamish, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.