Active NPI
Jade NG, PT
- Physical Therapist
- Snohomish, WA
National Provider Identifier
1851506174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60449694
- Practice address
- 1830 Bickford Ave
Suite 209
Snohomish, WA 98290-1749 - Phone
- (360) 568-7774
- Fax
- (360) 568-7779
- NPI assigned
- May 11, 2007
- Last updated
- Dec 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 33479 | CA | |
| Physical Therapist | 225100000X | PT60449694 | WA | Primary |
Addresses
Primary practice location
1830 Bickford Ave
Suite 209
Snohomish, WA 98290-1749
Mailing address
4220 132ND St SE
Suite 101
Mill Creek, WA 98012-8999
Phone (425) 316-8046
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0327703 | Other | WA | L & I |
| 0327695 | Other | WA | L & I |
| 0327704 | Other | WA | L & I |
| 0327958 | Other | WA | L & I |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60449694 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1851506174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4220 132ND ST SE",
"address_2": "SUITE 101",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980128999",
"telephone_number": "425-316-8046",
"fax_number": "425-338-9637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 BICKFORD AVE",
"address_2": "SUITE 209",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982901749",
"telephone_number": "360-568-7774",
"fax_number": "360-568-7779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "JADE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "33479",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60449694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0327703",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0327695",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0327704",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0327958",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.