Advanced Therapy & Sports Rehabilitation,Inc.
Organization Active NPI Physical Therapist · Bellevue, WA
NPI 1851661573 · NPPES record last updated May 1, 2013
Key facts
- NPI
- 1851661573
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3899 (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
- Organization subpart
- No
Authorized official
- Name
- Tamara L Gober, RPT
- Title
- Owner
- Phone
- (425) 746-0752
Practitioners 2
-
Ursula Erika Marquez, LAC
National Provider Directory
Locations
2310 130th Ave NE
Ste B103
Bellevue, WA 98005
Phone (425) 881-2310
12811 SE 38th St
Bellevue, WA 98006
Phone (425) 378-1800
2310 130th Ave NE
#B103
Bellevue, WA 98005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 3899 | WA | Yes |
Addresses
Primary practice location
12811 SE 38TH St
Bellevue, WA 98006-1326
Mailing address
2310 130TH Ave NE # B103
Bellevue, WA 98005-1799
Phone (425) 890-3989
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497896005 | Other | TYPE-1 NPI | |
| 1851661573 | Other | WA | NPI GROUP # |
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- Advanced Spinal Rehab
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- Ariel Advincula
- Aeg Washington Professional PC
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All providers in Bellevue, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.