Organization Active NPI

Summit Rehabilitation, LLC

  • Physical Therapist
  • Everett, WA
National Provider Identifier
1811184302
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUMMIT REHABILITATION, LLC
Practice address
12800 Bothell Everett Hwy
#100
Everett, WA 98208-6642
Phone
(425) 316-5090
Fax
(425) 316-5091
NPI assigned
Sep 27, 2007
Organization subpart
Yes
Parent organization
HEALTHFORCE PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Miss Debbie Baker
Title
Finance Director
Phone
(425) 806-5700

Specialties & licenses 1

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

Addresses

Primary practice location

12800 Bothell Everett Hwy
#100
Everett, WA 98208-6642

Mailing address

11805 N Creek Pkwy S
Suite 113
Bothell, WA 98011-8803
Phone (425) 806-5700

Other names 1

  • Mill Creek Clinic Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2124039PMG Mill Creek Internal Medicine Clinic12800 Bothell Everett Hwy Ste 180, Everett, WA 98208Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Part of
Healthforce Partners Inc

Locations

12800 Bothell Everett Hwy
Ste 100
Everett, WA 98208
Phone (425) 316-5090

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1811184302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11805 N CREEK PKWY S",
            "address_2": "SUITE 113",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980118803",
            "telephone_number": "425-806-5700",
            "fax_number": "425-806-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 BOTHELL EVERETT HWY",
            "address_2": "#100",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086642",
            "telephone_number": "425-316-5090",
            "fax_number": "425-316-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT REHABILITATION, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHFORCE PARTNERS",
        "enumeration_date": "2007-09-27",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "425-806-5700",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mill Creek Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 24, 2008; 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.

Verify at the official NPI Registry.