NPIMap

Organization Active NPI

Stride Physio PLLC

Doing business as Stride Physio

  • Physical Therapy Clinic/Center
  • Seattle, WA
National Provider Identifier
1750703567
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT00010710 Issued in WA
Legal business name
STRIDE PHYSIO PLLC
Doing business as
Stride Physio
Practice address
100 NE Northlake Way
Suite 200B
Seattle, WA 98105-6869
Phone
(206) 547-7445
Fax
(206) 913-2486
NPI assigned
Jan 13, 2014
Last updated
Dec 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Dr. Susanne F.T. Michaud, DPTNPI 1659578656
Title
Owner
Phone
(206) 547-7445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT00010710 WA Primary

Addresses

Primary practice location

100 NE Northlake Way
Suite 200B
Seattle, WA 98105-6869

Mailing address

9046 Phinney Ave N
Seattle, WA 98103-3719
Phone (206) 547-7445

Other names 1

  • Stride Physio Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160128001502 WA Part B Supplier - Clinic/Group Practice 9234432014 Receives reassigned benefits from 11 practitioners
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1750703567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9046 PHINNEY AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033719",
            "telephone_number": "206-547-7445",
            "fax_number": "206-297-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NE NORTHLAKE WAY",
            "address_2": "SUITE 200B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056869",
            "telephone_number": "206-547-7445",
            "fax_number": "206-913-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIDE PHYSIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "MICHAUD",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_middle_name": "F.T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-547-7445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00010710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stride Physio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.