NPIMap

Organization Active NPI

Olympic Ptwest at Arrowhead LLC

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1801969266
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OLYMPIC PTWEST AT ARROWHEAD LLC
Practice address
6320 W Union Hills Dr
Suite 20108
Glendale, AZ 85308-1096
Phone
(602) 439-3800
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Authorized official

Name
Nancy C Pollock
Title
Credentialing Specialist
Phone
(425) 454-4864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6320 W Union Hills Dr
Suite 20108
Glendale, AZ 85308-1096

Mailing address

1188 106TH Ave NE
Suite 100
Bellevue, WA 98004-8614
Phone (425) 454-4864

Other identifiers 1

IdentifierTypeStateIssuer
DN9649OtherAZRAILROAD MEDICARE

Other names 1

  • Olympic PTWest Doing business as

National Provider Directory

National Provider Directory

Locations

6320 W Union Hills Dr
Ste 2000B
Glendale, AZ 85308
Phone (623) 561-0494

1188 106th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 454-4864

Practitioners & affiliated clinicians

Practitioners 3

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1801969266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 106TH AVE NE",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980048614",
            "telephone_number": "425-454-4864",
            "fax_number": "425-646-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR",
            "address_2": "SUITE 20108",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081096",
            "telephone_number": "602-439-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC PTWEST AT ARROWHEAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "POLLOCK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "425-454-4864"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DN9649",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic PTWest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.