Active NPI
Judith H Anwar
- Mechanotherapist
- Carnation, WA
National Provider Identifier
1659603793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MA00022742
- Practice address
- 28906 NE 10TH St
Carnation, WA 98014-9689 - Phone
- (425) 417-4617
- NPI assigned
- Jan 30, 2010
- Last updated
- Jan 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA00022742 | WA | Primary |
Addresses
Primary practice location
28906 NE 10TH St
Carnation, WA 98014-9689
Mailing address
28906 NE 10TH St
Carnation, WA 98014-9689
Phone (425) 417-4617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00022742 | WA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264809600000",
"number": "1659603793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28906 NE 10TH ST",
"city": "CARNATION",
"state": "WA",
"postal_code": "980149689",
"telephone_number": "425-417-4617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28906 NE 10TH ST",
"city": "CARNATION",
"state": "WA",
"postal_code": "980149689",
"telephone_number": "425-417-4617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANWAR",
"first_name": "JUDITH",
"middle_name": "H",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-30",
"last_updated": "2010-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "WA",
"license": "MA00022742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carnation, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.