Active NPI
University of Washington
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Seattle, WA
National Provider Identifier
1780095208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- License
- P160063061
- Legal business name
- UNIVERSITY OF WASHINGTON
- Practice address
- 4245 Roosevelt Way NE
Uwmc-Roosevelt 2, 2ND Floor
Seattle, WA 98195 - Phone
- (206) 598-2889
- NPI assigned
- May 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marni L Wilson, P.T.A.
- Title
- Physical Therapist Assistant
- Phone
- (206) 598-2889
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | P160063061 | WA | Primary |
Addresses
Primary practice location
4245 Roosevelt Way NE
Uwmc-Roosevelt 2, 2ND Floor
Seattle, WA 98195
Mailing address
750 N. 143Rd St.
Unit# 204
Seattle, WA 98133
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D0896226 | University of Washington Medical Center | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400457600000",
"number": "1780095208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 N. 143RD ST.",
"address_2": "UNIT# 204",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4245 ROOSEVELT WAY NE",
"address_2": "UWMC-ROOSEVELT 2, 2ND FLOOR",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98195",
"telephone_number": "206-598-2889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF WASHINGTON",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-19",
"last_updated": "2014-05-19",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "MARNI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
"authorized_official_telephone_number": "206-598-2889",
"authorized_official_credential": "P.T.A."
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": "WA",
"license": "P160063061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
- University of Washington
- University of Washington (University of Washington Medical Center)
- University of Washington (UW Behavioral Research and Therapy Clinics)
- University of Washington (University of Washington Medical Center)
- University of Washington (University of Washington Medical Center)
- University of Washington (Airlift Northwest)
- University of Washington (UW Pathology - Reference Lab Services)
- University of Washington (UW Psychological Services & Training Ctr)
- University of Washington (University of Washington Medical Center)
- University of Washington (Uw Pharmacy Cares)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.