Active NPI
Burlington Physical Therapy, LLC
- Physical Therapist
- Burlington, WA
National Provider Identifier
1881674497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- BURLINGTON PHYSICAL THERAPY, LLC
- Practice address
- 1186 S Burlington Blvd
Burlington, WA 98233-3314 - Phone
- (360) 757-9018
- Fax
- (360) 757-9019
- NPI assigned
- Jan 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Michelle L King
- Title
- Billing Manager
- Phone
- (360) 757-9018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | WA | Primary |
Addresses
Primary practice location
1186 S Burlington Blvd
Burlington, WA 98233-3314
Mailing address
1186 South Burlington Blvd
Burlington, WA 98233
Phone (360) 757-9018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7128929 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1186 S Burlington Blvd
Burlington, WA 98233
Phone (360) 757-9018
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Mount Vernon, WA
- NPI 1841637543
-
- Physical Therapist
- Mount Vernon, WA
- NPI 1417957044
-
- Physical Therapist
- Burlington, WA
- NPI 1568531200
-
- Physical Therapist
- Sedro Woolley, WA
- NPI 1508935172
-
- Physical Therapist
- Sedro Woolley, WA
- NPI 1245300136
-
- Physical Therapist
- Anacortes, WA
- NPI 1073682704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1497484800000",
"number": "1881674497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1186 SOUTH BURLINGTON BLVD",
"city": "BURLINGTON",
"state": "WA",
"postal_code": "98233",
"telephone_number": "360-757-9018",
"fax_number": "360-757-9019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1186 S BURLINGTON BLVD",
"city": "BURLINGTON",
"state": "WA",
"postal_code": "982333314",
"telephone_number": "360-757-9018",
"fax_number": "360-757-9019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURLINGTON PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-19",
"last_updated": "2017-06-15",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "360-757-9018",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7128929",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.