Seattle Orthopedic & Sports Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SEATTLE ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC.

Practice address

2924 Eastlake Ave E
Seattle, WA 98102-3010

Phone

(206) 729-1405

Fax

(206) 257-0076

NPI assigned

Feb 15, 2008

Last updated

Mar 4, 2009By 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

Julie M JohnsonNPI 1710192711

Title

Owner Director

Phone

(206) 729-1405

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 4

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.

• Catheryne Genevieve Hicks, PT

  • Physical Therapist
  • Seattle, WA
  • NPI 1831202936
  Medicare reassignment Care Compare group NPD
• Julie M Johnson

  • Physical Therapist
  • Seattle, WA
  • NPI 1710192711
  Medicare reassignment NPD Authorized official
• Lori Sabado, PT

  • Physical Therapist
  • Seattle, WA
  • NPI 1316016538
  Medicare reassignment Care Compare group NPD
• Mark J Bouma, DPT

  • Physical Therapist
  • Mercer Island, WA
  • NPI 1659381069
  Medicare reassignment NPD

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1861660532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 E MILLER ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981122201",
            "telephone_number": "206-729-1405",
            "fax_number": "206-257-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 EASTLAKE AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023010",
            "telephone_number": "206-729-1405",
            "fax_number": "206-257-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "206-729-1405"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seattle Operations, LLC
• Seattle Ophthalmic Consultants PS
• Seattle Ophthalmology, PLLC
• Seattle Optometric Physicians PLLC (Eyes on Ballard)
• Seattle Ortho Arts Physical Therapy, PLLC
• Seattle Pain and Wellness Institute
• Seattle Pain Center Medical Corporation (Seattle Pain Center)
• Seattle Pediatric Chiropractic, P.
• Seattle Pediatric Dentists
• Seattle Pediatric Physical Therapy LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.