NPIMap

Organization Active NPI

Emerald City Physical Therapy SVCS, LLC

Doing business as Salmon Bay Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Seattle, WA
National Provider Identifier
1881998482
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
EMERALD CITY PHYSICAL THERAPY SVCS, LLC
Doing business as
Salmon Bay Physical Therapy
Practice address
6500 6TH Ave NW Ste a
Seattle, WA 98117-5099
Phone
(206) 755-9995
NPI assigned
Dec 22, 2010
Last updated
Jan 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Tucker Clayton Schonberg, MSPTNPI 1659597847
Title
Owner/Director
Phone
(206) 755-9995

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 Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

6500 6TH Ave NW Ste a
Seattle, WA 98117-5099

Mailing address

6500 6TH Ave NW Ste a
Seattle, WA 98117-5099
Phone (206) 755-9995

Other practice location 1

1455 NW Leary Way Ste 150
Seattle, WA 98107-5140
Phone (206) 284-9088

Other names 1

  • Salmon Bay 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
O20110314000314 WA Part B Supplier - Clinic/Group Practice 0547442469 Receives reassigned benefits from 26 practitioners
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

1455 NW Leary Way
Ste 150
Seattle, WA 98107
Phone (206) 284-9088

6500 6th Ave NW
Ste A
Seattle, WA 98117
Phone (206) 775-9995

928 NW Leary Way
Seattle, WA 98107
Phone (206) 284-9088

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1881998482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 6TH AVE NW STE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981175099",
            "telephone_number": "206-755-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 6TH AVE NW STE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981175099",
            "telephone_number": "206-755-9995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 NW Leary Way Ste 150",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981075140",
            "country_code": "US",
            "telephone_number": "206-284-9088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMERALD CITY PHYSICAL THERAPY SVCS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "SCHONBERG",
        "authorized_official_first_name": "TUCKER",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "206-755-9995",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salmon Bay Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.