Active NPI
Erin Peterson, DPT
- Physical Therapist
- Seattle, WA
National Provider Identifier
1750426102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00009357
- Practice address
- 1201 3Rd Ave
Suite 450
Seattle, WA 98101-3029 - Phone
- (206) 447-2220
- Fax
- (206) 447-2228
- NPI assigned
- Feb 21, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00009357 | WA | Primary |
Addresses
Primary practice location
1201 3Rd Ave
Suite 450
Seattle, WA 98101-3029
Mailing address
1201 3Rd Ave
Suite 450
Seattle, WA 98101-3029
Phone (206) 447-2220
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356411011 | Other | WA | GROUP NPI NUMBER |
| 144285 | Other | WA | L&I GROUP NUMBER |
| 201445 | Other | WA | L&I INDIVIDUAL NUMBER |
| 8400269 | Medicaid | WA | |
| 7101066 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5620 Rainier Ave S
Suite 102
Seattle, WA 98118-2498
Phone (206) 535-8061
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Work Prevention & Physical Therapy, Inc. | Current | Accepting new patients |
Locations
3226 Beacon Ave S
Seattle, WA 98144
Phone (206) 649-5110
5620 Rainier Ave S
Ste 102
Seattle, WA 98118
Phone (206) 535-8061
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Seattle, WA
- NPI 1730491259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1750426102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 3RD AVE",
"address_2": "SUITE 450",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981013029",
"telephone_number": "206-447-2220",
"fax_number": "206-447-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 3RD AVE",
"address_2": "SUITE 450",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981013029",
"telephone_number": "206-447-2220",
"fax_number": "206-447-2228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "ERIN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00009357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI NUMBER",
"identifier": "1356411011",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I GROUP NUMBER",
"identifier": "144285",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I INDIVIDUAL NUMBER",
"identifier": "201445",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8400269",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7101066",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.