Advanced Therapy & Sports Rehabilitation,Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3899 Issued in WA

Legal business name

ADVANCED THERAPY & SPORTS REHABILITATION,INC.

Practice address

12811 SE 38TH St
Bellevue, WA 98006-1326

Phone

(425) 746-0752

Fax

(425) 746-1587

NPI assigned

Jan 11, 2012

Last updated

May 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tamara L Gober, RPT

Title

Owner

Phone

(425) 746-0752

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Ursula Erika Marquez, LAC

  • Acupuncturist
  • Bellevue, WA
  • NPI 1922157296
  NPD (past)
• Leah Jennifer McNeill, ND

  • Family Medicine Physician
  • Bellevue, WA
  • NPI 1740378132
  NPD (past)

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1851661573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 130TH AVE NE # B103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051799",
            "telephone_number": "425-890-3989",
            "fax_number": "425-746-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12811 SE 38TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061326",
            "telephone_number": "425-746-0752",
            "fax_number": "425-746-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED THERAPY & SPORTS REHABILITATION,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "GOBER",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-746-0752",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "3899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Anesthesia Services, PLLC
• Advanced Dentistry Northwest
• Advanced Family Medicine
• Advanced Healing Home Care LLC
• Advanced Spinal Rehab
• Advent Caregivers LLC (Advent Caregivers)
• Ariel Advincula, LAC, LMT
• Aeg Washington Professional PC
• Aesthetics Dentistry,Inc.
• Affordable Dental Care (Steven L Paige DDS)

• Physical Therapist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.