Active NPI
Michele Susan Townshend, P.T.
- Physical Therapist
- Bainbridge Island, WA
National Provider Identifier
1891740049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00006505
- Practice address
- 9419 Coppertop Loop NE
Bainbridge Island, WA 98110 - Phone
- (206) 842-2428
- Fax
- (206) 842-2890
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00006505 | WA | Primary |
Addresses
Primary practice location
9419 Coppertop Loop NE
Bainbridge Island, WA 98110
Mailing address
9419 Coppertop Loop NE
Bainbridge Island, WA 98110
Phone (206) 842-2428
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131758 | Other | WA | DEPT OF LABOR & INDUSTRIE |
| 5325648 | Other | WA | AETNA/LEXINGTON, KY |
| 810588134-04 | Other | WA | KPS HEALTH PLANS |
| T05842 | Other | WA | REGENCE BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1891740049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9419 COPPERTOP LOOP NE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "98110",
"telephone_number": "206-842-2428",
"fax_number": "206-842-2890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9419 COPPERTOP LOOP NE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "98110",
"telephone_number": "206-842-2428",
"fax_number": "206-842-2890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOWNSHEND",
"first_name": "MICHELE",
"middle_name": "SUSAN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00006505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR & INDUSTRIE",
"identifier": "131758",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/LEXINGTON, KY",
"identifier": "5325648",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KPS HEALTH PLANS",
"identifier": "810588134-04",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "T05842",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.