Organization Active NPI

Bellingham Back & Neck Clinic Inc PS

  • Physical Therapy Clinic/Center
  • Bellingham, WA
National Provider Identifier
1710008313
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BELLINGHAM BACK & NECK CLINIC INC PS
Practice address
1801 C St
Bellingham, WA 98225-4017
Phone
(360) 733-7046
Fax
(360) 647-5437
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Laurie A Harris
Title
Clinic Administration
Phone
(360) 733-7046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1801 C St
Bellingham, WA 98225-4017

Mailing address

1801 C St
Bellingham, WA 98225-4017
Phone (360) 733-7046

Other identifiers 2

IdentifierTypeStateIssuer
40957OtherWAL AND I
7072598MedicaidWA

National Provider Directory

National Provider Directory

Locations

3010 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 676-1693

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1710008313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 C ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254017",
            "telephone_number": "360-733-7046",
            "fax_number": "360-647-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 C ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254017",
            "telephone_number": "360-733-7046",
            "fax_number": "360-647-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLINGHAM BACK & NECK CLINIC INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATION",
        "authorized_official_telephone_number": "360-733-7046"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L AND I",
            "identifier": "40957",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7072598",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.