Mill Creek Physical Therapy & Sports Rehab, Inc. P.S.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT00002603 Issued in WA

Legal business name

MILL CREEK PHYSICAL THERAPY & SPORTS REHAB, INC. P.S.

Practice address

15808 Mill Creek Blvd Ste 120
Mill Creek, WA 98012-1500

Phone

(425) 745-4311

Fax

(425) 337-0705

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Thomas E Arnold, P.T.

Title

Owner

Phone

(425) 745-4311

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mill Creek Physical Therapy & Sports Rehab, Inc. P.S. Doing business as

Locations

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902014418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15808 MILL CREEK BLVD STE 120",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121500",
            "telephone_number": "425-745-4311",
            "fax_number": "425-337-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15808 MILL CREEK BLVD STE 120",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121500",
            "telephone_number": "425-745-4311",
            "fax_number": "425-337-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL CREEK PHYSICAL THERAPY & SPORTS REHAB, INC. P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-745-4311",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00002603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0036785",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mill Creek Physical Therapy & Sports Rehab, Inc. P.S.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mill Creek Family Services, PLLC
• Mill Creek Foot & Ankle Clinic P.C.
• Mill Creek General Dentistry
• Mill Creek Implants & Periodontics
• Mill Creek Pharmacy Inc
• Mill Creek Wellness Center
• Mill Creek Wellness Center, PS
• Mill Creek Women'S Healthcare PLLC
• Mill Creek Women'S Healthcare, PLLC
• Mind Heart Therapy, PLLC

• Physical Therapy Clinic/Center in Mill Creek, WA
• Providers in Mill Creek, 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 Aug 22, 2020; 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.