NPIMap

Organization Active NPI

Manual Therapy International Professional Services PLLC

  • Physical Therapist
  • Bellevue, WA
National Provider Identifier
1871654475
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
601855652 Issued in WA
Legal business name
MANUAL THERAPY INTERNATIONAL PROFESSIONAL SERVICES PLLC
Practice address
1560 140TH Ave NE
Suite 100
Bellevue, WA 98005-4571
Phone
(425) 746-2475
Fax
(425) 746-2471
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Scott K Olson, PTNPI 1821147406
Title
Owner
Phone
(425) 746-2475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 601855652 WA Primary

Addresses

Primary practice location

1560 140TH Ave NE
Suite 100
Bellevue, WA 98005-4571

Mailing address

1560 140TH Ave NE
Suite 100
Bellevue, WA 98005-4571
Phone (425) 746-2475

Other names 1

  • MTI PHYSICAL THERAPY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322000215 WA Part B Supplier - Clinic/Group Practice 7012808041 Receives reassigned benefits from 47 practitioners
Practice locations: Seattle, WA; Kirkland, WA; Issaquah, WA; Edmonds, WA; Bellevue, WA

National Provider Directory

National Provider Directory
Tax ID family
Manual Therapy International PS PLLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

22500 SE 64th Pl
Ste 115
Issaquah, WA 98027
Phone (425) 441-6075

435 N 34th St
Seattle, WA 98103
Phone (206) 548-1522

3601 Fremont Ave N
Ste 216
Seattle, WA 98103
Phone (206) 548-1522

464 12th Ave
Ste 202
Seattle, WA 98122
Phone (206) 430-6262

3601 Fremont Ave N
#414
Seattle, WA 98103
Phone (206) 548-1522

3601 Fremont Ave N
Ste 210
Seattle, WA 98103
Phone (206) 202-2616

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1871654475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 140TH AVE NE",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054571",
            "telephone_number": "425-746-2475",
            "fax_number": "425-746-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 140TH AVE NE",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054571",
            "telephone_number": "425-746-2475",
            "fax_number": "425-746-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUAL THERAPY INTERNATIONAL PROFESSIONAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-746-2475",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "601855652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MTI PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.