Active NPI
Human Function, LLC
- Specialist
- Bellevue, WA
National Provider Identifier
1659567931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT00009108
- Legal business name
- HUMAN FUNCTION, LLC
- Practice address
- 2110 116TH Ave NE
Suite D.
Bellevue, WA 98004-3040 - Phone
- (206) 734-9033
- Fax
- (425) 451-0655
- NPI assigned
- Sep 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ian Johnsen, PT
- Title
- Owner/Operator
- Phone
- (206) 734-9033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT00009108 | WA | Primary |
Addresses
Primary practice location
2110 116TH Ave NE
Suite D.
Bellevue, WA 98004-3040
Mailing address
PO Box 78193
Seattle, WA 98178-0193
Phone (206) 734-9033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0212158 | Other | WA | LABOR & INDUSTRY |
National Provider Directory
National Provider DirectoryLocations
2110 116th Ave NE
Ste D
Bellevue, WA 98004
Phone (206) 734-9033
11711 NE 12th St
Ste 2A
Bellevue, WA 98005
Phone (206) 734-9033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322611200000",
"number": "1659567931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 78193",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981780193",
"telephone_number": "206-734-9033",
"fax_number": "206-774-8751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 116TH AVE NE",
"address_2": "SUITE D.",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043040",
"telephone_number": "206-734-9033",
"fax_number": "425-451-0655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUMAN FUNCTION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-19",
"last_updated": "2011-11-30",
"status": "A",
"authorized_official_last_name": "JOHNSEN",
"authorized_official_first_name": "IAN",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "206-734-9033",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "WA",
"license": "PT00009108",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRY",
"identifier": "0212158",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.