NPIMap

Organization Active NPI

Peak Sports and Spine PT-Issaquah P S

  • Physical Therapist
  • Issaquah, WA
National Provider Identifier
1740408905
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00005443 Issued in WA
Legal business name
PEAK SPORTS AND SPINE PT-ISSAQUAH P S
Practice address
1445 NW Mall Street
Ste. 1
Issaquah, WA 98027
Phone
(425) 391-9211
Fax
(425) 391-9545
NPI assigned
Apr 23, 2007
Last updated
Jan 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Authorized official

Name
Daniel L Swwinscoe Jr., MPT
Title
Owner
Phone
(425) 391-9211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00005443 WA Primary

Addresses

Primary practice location

1445 NW Mall Street
Ste. 1
Issaquah, WA 98027

Mailing address

1445 NW Mall Street
Ste. 1
Issaquah, WA 98027
Phone (425) 391-9211

National Provider Directory

National Provider Directory

Locations

1445 NW Mall St
Ste 1
Issaquah, WA 98027
Phone (425) 391-9211

1660 NW Gilman Blvd
#C5
Issaquah, WA 98027
Phone (425) 391-9211

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1740408905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 NW MALL STREET",
            "address_2": "STE. 1",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "98027",
            "telephone_number": "425-391-9211",
            "fax_number": "425-391-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 NW MALL STREET",
            "address_2": "STE. 1",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "98027",
            "telephone_number": "425-391-9211",
            "fax_number": "425-391-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK SPORTS AND SPINE PT-ISSAQUAH P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "SWWINSCOE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-391-9211",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.