North Seattle Holistic Physical Therapy and Wellness, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT60148245 Issued in WA

Legal business name

NORTH SEATTLE HOLISTIC PHYSICAL THERAPY AND WELLNESS, LLC

Doing business as

P5 Orthopedic & Sports Physical Therapy

Practice address

7500 212TH St SW
Suite 112
Edmonds, WA 98026-7641

Phone

(888) 315-6610

Fax

(888) 315-6610

NPI assigned

Jun 22, 2016

Last updated

Sep 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rhenand Mendoza, PT, DPT

Title

Owner

Phone

(253) 886-4465

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• P5 Orthopedic & Sports Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1891146734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 212TH ST SW",
            "address_2": "SUITE 112",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 212TH ST SW",
            "address_2": "SUITE 112",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267641",
            "telephone_number": "888-315-6610",
            "fax_number": "888-315-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SEATTLE HOLISTIC PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "RHENAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-886-4465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT60148245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427482991",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P5 Orthopedic & Sports Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rex Z Nilson, DPM
• Janet Susan Noel, MA
• Mark Harrison Nolting, ND, L.AC.
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• Physical Therapy Clinic/Center in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.