Organization Active NPI

Virginia Mason Medical Center

  • Physical Therapy Clinic/Center
  • Seattle, WA
National Provider Identifier
1972884732
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT60228289 Issued in WA
Legal business name
VIRGINIA MASON MEDICAL CENTER
Practice address
1201 Terry Ave.
Virginia Mason Medical Center X2-SM
Seattle, WA 98101
Phone
(206) 223-7528
NPI assigned
Sep 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Mr. Anthony Michael Mark, DPT
Title
Physical Therapist
Phone
(206) 223-7528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT60228289 WA Primary

Addresses

Primary practice location

1201 Terry Ave.
Virginia Mason Medical Center X2-SM
Seattle, WA 98101

Mailing address

1201 Terry Avenue
Virginia Mason Sports Medicine
Seattle, WA 98101
Phone (206) 223-7528

National Provider Directory

National Provider Directory

Locations

1100 9th Ave
#H3
Seattle, WA 98101

970 Denny Way
Seattle, WA 98109
Phone (206) 267-4390

925 Seneca St
Ste H3
Seattle, WA 98101

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1972884732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 TERRY AVENUE",
            "address_2": "VIRGINIA MASON SPORTS MEDICINE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98101",
            "telephone_number": "206-223-7528",
            "fax_number": "206-223-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 TERRY AVE.",
            "address_2": "VIRGINIA MASON MEDICAL CENTER X2-SM",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98101",
            "telephone_number": "206-223-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA MASON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "206-223-7528",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT60228289",
            "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 Sep 7, 2011; 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.