NPIMap

Organization Active NPI

The Parkinson's Fitness Project PLLC

  • Neurology Physical Therapist
  • Seattle, WA
National Provider Identifier
1649728551
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
60277344 Issued in WA
Legal business name
THE PARKINSON'S FITNESS PROJECT PLLC
Practice address
106 Lakeside Ave
Seattle, WA 98122-6542
Phone
(206) 860-5172
Fax
(120) 626-0360
NPI assigned
Sep 20, 2016
Last updated
Jan 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Mr. Nathan Allen Coomer, PTNPI 1700236080
Title
Owner
Phone
(304) 506-3876

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
Neurology Physical Therapist 2251N0400X 60277344 WA Primary

Addresses

Primary practice location

106 Lakeside Ave
Seattle, WA 98122-6542

Mailing address

3808 E Superior St
Seattle, WA 98122-6566
Phone (304) 506-3876

Other names 1

  • Parkinson's Project, PLLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161118000784 WA Part B Supplier - Clinic/Group Practice 9032498829 Receives reassigned benefits from 9 practitioners
Practice locations: Bellevue, WA; Seattle, WA

National Provider Directory

National Provider Directory

Locations

106 Lakeside Ave
Seattle, WA 98122
Phone (206) 465-5650

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1649728551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 E SUPERIOR ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226566",
            "telephone_number": "304-506-3876",
            "fax_number": "120-626-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LAKESIDE AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226542",
            "telephone_number": "206-860-5172",
            "fax_number": "120-626-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PARKINSON'S FITNESS PROJECT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "COOMER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-506-3876",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "WA",
            "license": "60277344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkinson's Project, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.