NPIMap

Organization Active NPI

Quality Care Physical Therapy, Inc.

  • Physical Therapist
  • Bothell, WA
National Provider Identifier
1801937503
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8250 Issued in WA
Legal business name
QUALITY CARE PHYSICAL THERAPY, INC.
Practice address
19102 N Creek Pkwy
Suite 104
Bothell, WA 98011-8005
Phone
(425) 486-6079
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Patrick Monahan, PT, DPTNPI 1063553758
Title
President
Phone
(425) 486-6079

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 8250 WA Primary

Addresses

Primary practice location

19102 N Creek Pkwy
Suite 104
Bothell, WA 98011-8005

Mailing address

PO Box 1872
Bothell, WA 98041-1872
Phone (425) 486-6079

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090130000068 WA Part B Supplier - Clinic/Group Practice 3274697685 Receives reassigned benefits from 5 practitioners
Practice locations: Bothell, WA

National Provider Directory

National Provider Directory

Locations

18404 102nd Ave NE
Ste A
Bothell, WA 98011
Phone (425) 486-6079

19102 North Creek Pkwy
Ste 104
Bothell, WA 98011
Phone (425) 486-6079

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801937503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1872",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980411872",
            "telephone_number": "425-486-6079",
            "fax_number": "425-486-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19102 N CREEK PKWY",
            "address_2": "SUITE 104",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980118005",
            "telephone_number": "425-486-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONAHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-486-6079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "8250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.