SAMANTHA VAN GORDER (NPI# 1013460856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013460856 |
| Entity Type | Individual |
| Full Name | SAMANTHA VAN GORDER |
| Credential | PT |
| Practice Address |
1560 140th Ave Ne Suite 100 Bellevue WA 98005-4571 |
| Practice Telephone | 4257462475 |
| Practice Fax Number | 4257462471 |
| Mailing Telephone | 4257462475 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT60661260 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1560 140TH AVE NE SUITE 100 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-4571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487741369 | Cindy A. Unsleber | Physical Therapist | 1560 140th Ave Ne, Suite 100, Bellevue, WA 98005 | 2006-10-10 |
| 1770954430 | Matthew Z Zapel | Physical Therapist | 1560 140th Ave Ne, Ste 100, Bellevue, WA 98005-4571 | 2015-10-07 |
| 1891166567 | Valerie M Levesque | Physical Therapist | 1560 140th Ave Ne, #100, Bellevue, WA 98005-4571 | 2015-10-07 |
| 1093113714 | Michael Okada | Physical Therapist | 1560 140th Ave Ne, Ste 100, Bellevue, WA 98005-4571 | 2014-12-11 |
| 1245582949 | Melissa Tarbuck Evans | Physical Therapist | 1560 140th Ave Ne, Suite 100, Bellevue, WA 98005-4571 | 2012-10-05 |
| 1790036192 | Paige Katherine Vivian | Physical Therapist | 1560 140th Ave Ne, Suite 100, Bellevue, WA 98005-4571 | 2012-09-25 |
| 1114278645 | Dawn Marie Eschenbach | Physical Therapist | 1560 140th Ave Ne, Suite 100, Bellevue, WA 98005-4571 | 2012-09-24 |
| 1841574936 | Manual Therapy International, Ps, Pllc | Clinic/Center | 1560 140th Ave Ne, Suite 100, Bellevue, WA 98005-4571 | 2011-10-06 |
| 1639302748 | Gregory Mark Anson | Physical Therapist | 1560 140th Ave Ne, Ste. 100, Bellevue, WA 98005-4571 | 2009-08-24 |
| 1083834816 | Mti Physical Therapy Bellevue | Physical Therapist | 1560 140th Ave Ne, Suite 100, Bellevue, WA 98005-4571 | 2007-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851466411 | Ian Alan Johnsen | Physical Therapist | 2110 116th Ave Ne, Suite D, Bellevue, WA 98004 | 2006-11-21 |
| 1376643338 | Pamela Faye Schuerman | Physical Therapist | 14810 Se Lake Hills Blvd A2, Bellevue, WA 98007-5820 | 2006-09-22 |
| 1497234835 | Sheila Mehri Oberhardt | Physical Therapist | 1560 140th Ave Ne Ste 100, Bellevue, WA 98005-4571 | 2018-08-07 |
| 1083191506 | Robin Mcguire | Physical Therapist | 1560 140th Ave Ne Ste 100, Bellevue, WA 98005 | 2018-07-26 |
| 1700394442 | David Anthony Hernandez | Physical Therapist | 1560 140th Ave Ne Ste 100, Bellevue, WA 98005-4571 | 2018-01-16 |
| 1104345479 | John Bernhardt | Physical Therapist | 1560 140th Ave Ne Ste 100, Bellevue, WA 98005-4571 | 2017-09-18 |
| 1174067854 | Corbin Taylor Gavin | Physical Therapist | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2016-12-14 |
| 1306076385 | Physical Therapy Essentials | Physical Therapist | 1750 112th Ave Ne, D-154, Bellevue, WA 98004-3752 | 2009-07-23 |
| 1831384155 | Jolene Shannon O'neill | Physical Therapist | 1200 112th Ave Ne, Suite C260, Bellevue, WA 98004-3732 | 2007-09-10 |
| 1053449892 | Thomas J. Palermo | Physical Therapist | 10940 Ne 33rd Pl, Suite 103, Bellevue, WA 98004-1432 | 2007-03-02 |
| Find all providers in BELLEVUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.