NPIMap

Organization Active NPI

Manual Therapy International, PS, PLLC

Doing business as MTI Physical Therapy

  • Physical Therapy Clinic/Center
  • Bellevue, WA
National Provider Identifier
1841574936
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 60222508 Issued in WA
Legal business name
MANUAL THERAPY INTERNATIONAL, PS, PLLC
Doing business as
MTI Physical Therapy
Practice address
1560 140TH Ave NE
Suite 100
Bellevue, WA 98005-4571
Phone
(425) 746-2475
Fax
(425) 746-2471
NPI assigned
Oct 6, 2011
Last updated
Oct 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Scott K. Olson, PTNPI 1821147406
Title
Owner/Officer
Phone
(425) 746-2475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT 60222508 WA Primary

Addresses

Primary practice location

1560 140TH Ave NE
Suite 100
Bellevue, WA 98005-4571

Mailing address

1560 140TH Ave NE
Suite 100
Bellevue, WA 98005-4571
Phone (425) 746-2475

Other names 1

  • MTI Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Manual Therapy International PS PLLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1841574936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 140TH AVE NE",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054571",
            "telephone_number": "425-746-2475",
            "fax_number": "425-746-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 140TH AVE NE",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054571",
            "telephone_number": "425-746-2475",
            "fax_number": "425-746-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUAL THERAPY INTERNATIONAL, PS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER/OFFICER",
        "authorized_official_telephone_number": "425-746-2475",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT 60222508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MTI Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.