Organization Active NPI

Footworks Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Seattle, WA
National Provider Identifier
1831337468
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT00008453 Issued in WA
Legal business name
FOOTWORKS PHYSICAL THERAPY, LLC
Practice address
323 Occidental Ave S
Seattle, WA 98104-2839
Phone
(206) 632-4578
Fax
(206) 299-0431
NPI assigned
Feb 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Mr. Neal Goldberg, P.T.
Title
Owner, Member
Phone
(206) 632-4578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT00008453 WA Primary

Addresses

Primary practice location

323 Occidental Ave S
Seattle, WA 98104-2839

Mailing address

323 Occidental Ave S
Seattle, WA 98104-2839
Phone (206) 632-4578

National Provider Directory

National Provider Directory

Locations

323 Occidental Ave S
Seattle, WA 98104
Phone (206) 632-4578

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1831337468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 OCCIDENTAL AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042839",
            "telephone_number": "206-632-4578",
            "fax_number": "206-299-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 OCCIDENTAL AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042839",
            "telephone_number": "206-632-4578",
            "fax_number": "206-299-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTWORKS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "OWNER, MEMBER",
        "authorized_official_telephone_number": "206-632-4578",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00008453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.