Organization Active NPI

Human Function, LLC

  • Specialist
  • Bellevue, WA
National Provider Identifier
1659567931
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT00009108 Issued in WA
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

Updated by the provider on Nov 30, 2011

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0212158OtherWALABOR & INDUSTRY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.