Individual provider Active NPI

Badz Santander, PT, DPT

  • Physical Therapist
  • Everett, WA
National Provider Identifier
1760817548
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60157196 Issued in WA
Practice address
10530 19TH Ave SE Ste 201
Everett, WA 98208-4282
Phone
(425) 357-1790
NPI assigned
Sep 11, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60157196 WA Primary

Addresses

Primary practice location

10530 19TH Ave SE Ste 201
Everett, WA 98208-4282

Mailing address

PO Box 73188
Puyallup, WA 98373-0188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241010001424 WA Practitioner - Physical Therapist in Private Practice 2163954504 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
Swedish Health Services Current Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Swedish Health Services Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients

Locations

13555 SE 36th St
Ste 100
Bellevue, WA 98006

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

800 5th Ave
Ste P100
Seattle, WA 98104
Phone (206) 320-2700

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1760817548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73188",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983730188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10530 19TH AVE SE STE 201",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084282",
            "telephone_number": "425-357-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANDER",
        "first_name": "BADZ",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-11",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60157196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.