Liam Main

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

7900 SE 28TH St Ste 102
Mercer Island, WA 98040-2970

Phone

(206) 232-9045

Fax

(206) 232-8871

NPI assigned

Dec 28, 2021

Last updated

Dec 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Washington Physical Therapy LLCGroup PAC ID 3476679812, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Washington Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Kirkland, WA
  • NPI 1770894990

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Therapy Management Services, PLLC

  • Physical Therapist
  • Bellevue, WA
  • NPI 1710330378
  Medicare reassignment NPD
• Therapy Management Services, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Puyallup, WA
  • NPI 1225255318

  Physical Therapist

  NPD
• Therapy Management Services, PLLC

  dba Orthosport Physical Therapy

  • Physical Therapist
  • Lynnwood, WA
  • NPI 1528579885
  NPD

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1841950136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 NE 12TH ST STE 3A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 SE 28TH ST STE 102",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402970",
            "telephone_number": "206-232-9045",
            "fax_number": "206-232-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIN",
        "first_name": "LIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Chun Lopez
• Luna Healthcare, LLC (Sonus Hearing Care Professionals)
• Keith Alexander Luther, MD
• Regina Ma
• Matthew Salamat Maglalang, PHARM.D.
• Mak Abulhosn Podiatry Services PLLC
• Shelley M Malcolm, MS, CN
• Jill A Manasco, OT
• Theodore Dungan Mandelkorn, MD
• Nancy Mar

• Physical Therapist in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.