Skagit Island Rehabilitation Group

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00003585 Issued in WA

Legal business name

SKAGIT ISLAND REHABILITATION GROUP

Doing business as

Mount Vernon Physical Therapy

Practice address

117 N 1St St
Suite 4
Mount Vernon, WA 98273-2859

Phone

(360) 336-3838

Fax

(360) 336-3880

NPI assigned

Oct 13, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Eugene Fritz, P.T.

Title

Owner/P.T.

Phone

(360) 336-3838

Specialties & licenses 1

Addresses

Other names 1

• Mount Vernon Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Skagit Island Rehabilitation Group

  dba Coupeville Physical Therapy

  • Physical Therapist
  • Coupeville, WA
  • NPI 1467432088

  O20051006000935

  Same enrollment

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Burlington Physical Therapy, LLC

  • Physical Therapist
  • Burlington, WA
  • NPI 1881674497

  Member Of

  NPD member

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1780919548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 R AVE",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982214602",
            "telephone_number": "360-293-2417",
            "fax_number": "360-293-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N 1ST ST",
            "address_2": "SUITE 4",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732859",
            "telephone_number": "360-336-3838",
            "fax_number": "360-336-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGIT ISLAND REHABILITATION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER/P.T.",
        "authorized_official_telephone_number": "360-336-3838",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Vernon Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Skagit Family Health Clinic LLC Cowan Seth P MBR (Mount Vernon Birth Center)
• Skagit Foot and Ankle Clinic
• Skagit Hand Therapy LLC
• Skagit Hospice Services L L C (Hospice of the Northwest)
• Skagit Hospice Services, LLC (Palliative Care of the Northwest)
• Skagit Osteoporosis Detection Center
• Skagit OT Studio LLC (Skagit OT Studio)
• Skagit Pathology, Inc, PS
• Skagit Pediatrics, LLP
• Skagit Preschool Association and Resource Center

• Physical Therapist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.