Empower Physical Therapy, PLLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

EMPOWER PHYSICAL THERAPY, PLLC

Doing business as

Empower Physical Therapy

Practice address

1815 Cornwall Ave
Bellingham, WA 98225-4614

Phone

(541) 740-3510

NPI assigned

Jan 16, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin T Mahoney, PT, DPT, COMT, MFDCNPI 1972028355

Title

Owner / Physical Therapist

Phone

(541) 740-3510

Specialties & licenses 3

Addresses

Other names 1

• Empower Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 4

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

• Benjamin Tyler Mahoney, DPT

  • Orthopedic Physical Therapist
  • Bellingham, WA
  • NPI 1972028355
  Medicare reassignment Care Compare group NPD Authorized official
• Joshua Daniel, D.P.T.

  • Physical Therapist
  • Big Sky, MT
  • NPI 1770114894

  WA

  Medicare reassignment Care Compare group NPD
• Sarah Natanella Maissy, DPT

  • Physical Therapist
  • Lynnwood, WA
  • NPI 1194374041
  NPD (past)
• Stefan Balciunas, PT, DPT

  • Physical Therapist
  • Columbus, GA
  • NPI 1629792890
  NPD (past)

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

{
    "created_epoch": "1642291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642291200000",
    "number": "1891446381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 ALVARADO DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982298876",
            "telephone_number": "541-740-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 CORNWALL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254614",
            "telephone_number": "541-740-3510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2606 Alvarado Dr",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982298876",
            "country_code": "US",
            "telephone_number": "541-740-3510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMPOWER PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-16",
        "last_updated": "2022-01-16",
        "certification_date": "2022-01-16",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "541-740-3510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, COMT, MFDC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empower Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Endless Potential

• Orthopedic Physical Therapist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2022; 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.