Active NPI
Shari Lynn Einhorn Dicks, MS PT
- Physical Therapist
- Seattle, WA
National Provider Identifier
1750424636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00002943
- Practice address
- 901 Boren Ave
Suite 410
Seattle, WA 98104-3595 - Phone
- (206) 447-1570
- Fax
- (206) 447-1592
- NPI assigned
- Feb 14, 2007
- Last updated
- Jun 22, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00002943 | WA | Primary |
Addresses
Primary practice location
901 Boren Ave
Suite 410
Seattle, WA 98104-3595
Mailing address
1188 106TH Ave NE
Suite 100
Bellevue, WA 98004-8614
Phone (425) 454-4864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004168 | Other | WA | L&I |
Other names 1
- Shari Lynn Dicks
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biosports Northwest PLLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1750424636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1188 106TH AVE NE",
"address_2": "SUITE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980048614",
"telephone_number": "425-454-4864",
"fax_number": "425-646-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 BOREN AVE",
"address_2": "SUITE 410",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043595",
"telephone_number": "206-447-1570",
"fax_number": "206-447-1592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EINHORN DICKS",
"first_name": "SHARI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MS PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00002943",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0004168",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHARI",
"last_name": "DICKS",
"middle_name": "LYNN",
"credential": "MSPT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.