NPIMap

Organization Active NPI

Active Seattle Physical Therapy, PLLC

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1649090176
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACTIVE SEATTLE PHYSICAL THERAPY, PLLC
Practice address
1500 NW 63Rd St
Seattle, WA 98107-2338
Phone
(206) 735-4414
Fax
(206) 735-3166
NPI assigned
Oct 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Leah Nottingham
Title
Cpo
Phone
(415) 533-4863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1500 NW 63Rd St
Seattle, WA 98107-2338

Mailing address

1500 NW 63Rd St
Seattle, WA 98107-2338
Phone (206) 735-4414

Other practice location 1

508 1st Ave N
Seattle, WA 98109-4522
Phone (206) 895-7535

Other names 1

  • Therapydia Seattle Doing business as

National Provider Directory

National Provider Directory

Locations

508 1st Ave N
Seattle, WA 98109
Phone (206) 895-7535

Practitioners & affiliated clinicians

Practitioners 12

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": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1649090176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW 63RD ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981072338",
            "telephone_number": "206-735-4414",
            "fax_number": "206-735-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW 63RD ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981072338",
            "telephone_number": "206-735-4414",
            "fax_number": "206-735-3166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 1st Ave N",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981094522",
            "country_code": "US",
            "telephone_number": "206-895-7535",
            "fax_number": "206-895-4607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACTIVE SEATTLE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "NOTTINGHAM",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "CPO",
        "authorized_official_telephone_number": "415-533-4863"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapydia Seattle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 10, 2024; 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.