Impact Physical Therapy, P.S.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008381 Issued in WA

Legal business name

IMPACT PHYSICAL THERAPY, P.S.

Practice address

6101 200TH St SW Ste 208
Lynnwood, WA 98036-6077

Phone

(425) 778-2325

Fax

(425) 778-7692

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Nancy Mitrano

Title

Owner-Impact Physical Therapy, P.S.

Phone

(425) 778-2325

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 10

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

• Laura B Bogh

  • Physical Therapist
  • Seattle, WA
  • NPI 1245463793
  NPD (past)
• Sarah Lindsay Carnegie, PHYSICAL THERAPIST

  • Physical Therapist
  • Edmonds, WA
  • NPI 1215534813
  NPD (past)
• Jafari Jackson, PT

  • Physical Therapist
  • Everett, WA
  • NPI 1487770848
  NPD (past)
• Jon Roger Luebke, PT

  • Physical Therapist
  • Everett, WA
  • NPI 1922158856
  NPD (past)
• Mari M O'Neill, PT

  • Physical Medicine & Rehabilitation Physician
  • Seattle, WA
  • NPI 1366524977
  NPD (past)
• Sarah D Patton, PHYSICAL THERAPIST

  • Physical Therapist
  • Seattle, WA
  • NPI 1871796151
  NPD (past)
• Shawnee Perkins, PT, DPT

  • Physical Therapist
  • Seattle, WA
  • NPI 1649707217
  NPD (past)
• Ellinor Petri Smith, PT

  • Physical Therapist
  • Lynnwood, WA
  • NPI 1841352978
  NPD (past)
• Tina Nicole Tyndall Wilson, PT

  • Physical Therapist
  • Olympia, WA
  • NPI 1700085065
  NPD (past)
• Stephanie Neesvig Vanhoff, DPT

  • Physical Therapist
  • Kealakekua, HI
  • NPI 1619161197
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1922178201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 200TH ST SW STE 208",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366077",
            "telephone_number": "425-778-2325",
            "fax_number": "425-778-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 200TH ST SW STE 208",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366077",
            "telephone_number": "425-778-2325",
            "fax_number": "425-778-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT PHYSICAL THERAPY, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "MITRANO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER-IMPACT PHYSICAL THERAPY, P.S.",
        "authorized_official_telephone_number": "425-778-2325",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "173816",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1905229",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenica Faye Salvador Iglesias
• Tuiara Ignateva
• Brieanna Ihly, CBT
• Katrina Iiams-Hauser, N.D.
• Young B Im, LAC
• Infinite Grace Adult Family Home LLC
• Infinity Nemt LLC
• Infinity Rehab
• Thomas Ing
• Robert E. Ingham, MD

• Physical Therapist in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.