Organization Active NPI

Origin Seattle Bodywork

  • Mechanotherapist
  • Seattle, WA
National Provider Identifier
1972185403
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
Legal business name
ORIGIN SEATTLE BODYWORK
Practice address
4444 Woodland Park Ave N Unit 201
Seattle, WA 98103-7499
Phone
(206) 234-9478
NPI assigned
Apr 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Dr. Elizabeth D Gray, LMTNPI 1457482481
Title
Owner
Phone
(206) 234-9478

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
MechanotherapistGroup: 193400000X SINGLE SPECIALTY GROUP 172M00000X Primary

Addresses

Primary practice location

4444 Woodland Park Ave N Unit 201
Seattle, WA 98103-7499

Mailing address

4444 Woodland Park Ave N Unit 201
Seattle, WA 98103-7499
Phone (206) 234-9478

Other practice location 1

4444 Woodland Park Ave N Unit 201
Seattle, WA 98103-7499
Phone (206) 234-9478

National Provider Directory

National Provider Directory

Locations

4444 Woodland Park Ave N
Unit 201
Seattle, WA 98103
Phone (206) 234-9478

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1972185403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 WOODLAND PARK AVE N UNIT 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037499",
            "telephone_number": "206-234-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 WOODLAND PARK AVE N UNIT 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037499",
            "telephone_number": "206-234-9478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4444 Woodland Park Ave N Unit 201",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981037499",
            "country_code": "US",
            "telephone_number": "206-234-9478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORIGIN SEATTLE BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-234-9478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mechanotherapist",
            "state": null,
            "license": null,
            "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 Apr 23, 2021; 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.