The Athlete Experience

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

OT4189 Issued in WA

Legal business name

THE ATHLETE EXPERIENCE

Practice address

2818 E Madison St
Seattle, WA 98112-4841

Phone

(206) 641-7733

Fax

(206) 641-3272

NPI assigned

Jun 23, 2015

Organization subpart

No

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

Authorized official

Name

Aaron Shaw, OTR/L, CHT, CSCS

Title

Owner

Phone

(206) 914-9666

Specialties & licenses 1

Addresses

Other names 1

• MoveMend Doing business as

Locations

Practitioners 2

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

• Carly Catanese, PT

  • Physical Therapist
  • Seattle, WA
  • NPI 1598022238
  NPD (past)
• Ryan Elizabeth Simmons, D.P.T.

  • Physical Therapist
  • Seattle, WA
  • NPI 1447550454
  NPD (past)

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1871975110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 E MADISON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124841",
            "telephone_number": "206-641-7733",
            "fax_number": "206-641-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 E MADISON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124841",
            "telephone_number": "206-641-7733",
            "fax_number": "206-641-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ATHLETE EXPERIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-914-9666",
        "authorized_official_credential": "OTR/L, CHT, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "WA",
            "license": "OT4189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MoveMend",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• THC Seattle Inc
• THC-Seattle LLC
• The Afterspace, PLLC
• The Association of Chrmc and University Physicians
• The Association of University Physicians
• The Bartell Drug Co
• The Bartell Drug Co
• The Bartell Drug Co
• The Bartell Drug Co
• The Bartell Drug Co

• Rehabilitation Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Rehabilitation Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.