Jennifer Rose Aglubat, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60346329 Issued in WA

Practice address

1500 Westlake Ave N Ste 106
Seattle, WA 98109-3036

Phone

(206) 268-0696

NPI assigned

Feb 22, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Seattle Sport Rehabilitation and Performance

  • Physical Therapy Clinic/Center
  • Seattle, WA
  • NPI 1477147619
  NPD Authorized official

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1881967768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5526 35TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052312",
            "telephone_number": "808-348-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WESTLAKE AVE N STE 106",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981093036",
            "telephone_number": "206-268-0696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 NW Gilman Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980272470",
            "country_code": "US",
            "telephone_number": "425-392-6804",
            "fax_number": "425-392-6805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGLUBAT",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2021-03-19",
        "certification_date": "2021-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT38793",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60346329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunil Kumar Aggarwal, MD, PHD
• Tanvi Aggarwal, RN
• Darian Christopher Aghily
• Nathan Yehuda Ben Agi
• Aging Wisdom Inc
• Askal Weretaw Agmas
• Maria Agne, LICSW, MSW, MA
• Matthew L Agnew
• Ifeanyi Chandler Agochukwu
• Sergay Nicholas Agoff, MD

• All providers in Seattle, WA
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.