NPIMap

Organization Active NPI

Andrew Eisen Physical Therapy, LLC

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1912245192
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60046366 Issued in WA
Legal business name
ANDREW EISEN PHYSICAL THERAPY, LLC
Practice address
4649 Sunnyside Ave N
Suite 302
Seattle, WA 98103-6900
Phone
(206) 588-0855
Fax
(206) 588-0397
NPI assigned
Jan 23, 2013
Last updated
Jan 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Mr. Andrew S Eisen, DPTNPI 1619011152
Title
Owner/Physical Therapist
Phone
(917) 855-1305

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 Therapist 225100000X PT60046366 WA Primary

Addresses

Primary practice location

4649 Sunnyside Ave N
Suite 302
Seattle, WA 98103-6900

Mailing address

PO Box 730
Lake Stevens, WA 98258-0730
Phone (425) 374-8383

National Provider Directory

National Provider Directory

Locations

4649 Sunnyside Ave N
Ste 302
Seattle, WA 98103
Phone (206) 525-9035

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1912245192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982580730",
            "telephone_number": "425-374-8383",
            "fax_number": "425-322-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4649 SUNNYSIDE AVE N",
            "address_2": "SUITE 302",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036900",
            "telephone_number": "206-588-0855",
            "fax_number": "206-588-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW EISEN PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "EISEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-855-1305",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60046366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 23, 2013; 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.