Active NPI
Susan Soule
- Physical Therapist
- Blaine, WA
National Provider Identifier
1821483678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6669
- Practice address
- 8080 Harborview Rd
Blaine, WA 98230-9734 - Phone
- (360) 296-6611
- NPI assigned
- Mar 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6669 | WA | Primary |
Addresses
Primary practice location
8080 Harborview Rd
Blaine, WA 98230-9734
Mailing address
PO Box 31535
Bellingham, WA 98228-3535
Phone (360) 296-6611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6669 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427673600000",
"number": "1821483678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31535",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982283535",
"telephone_number": "360-296-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8080 HARBORVIEW RD",
"city": "BLAINE",
"state": "WA",
"postal_code": "982309734",
"telephone_number": "360-296-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOULE",
"first_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-30",
"last_updated": "2015-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "6669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blaine, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.