WATERFRONT SPORTS AND PHYSICAL THERAPY (NPI# 1164546016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164546016 |
Entity Type | Organization |
Organization Name | WATERFRONT SPORTS AND PHYSICAL THERAPY |
Other Organization Name | MOTUS PHYSICAL THERAPY |
Practice Address |
20109 Aurora Ave N Ste 105 Shoreline WA 98133-3127 |
Practice Telephone | 2068017546 |
Practice Fax Number | 2068017547 |
Mailing Telephone | 2068017546 |
Mailing Fax Number | 2068017547 |
Enumeration Date | 2007-03-18 |
Last Update Date | 2016-12-27 |
Authorized Official Name | MR. WILLIAM C REYNOLDS (PRESIDENT) |
Authorized Official Telephone | 2068017546 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Other Name | Type Code |
---|---|
Motus Physical Therapy | Doing Business As Name - Organization |
Street Address |
20109 AURORA AVE N STE 105 |
City | SHORELINE |
State | WA |
Zip Code | 98133-3127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134778582 | Jamie Maloy | Physical Therapist | 20109 Aurora Ave N Ste 105, Shoreline, WA 98133-3127 | 2019-09-09 |
1629192497 | Rebecca A Forkan | Physical Therapist | 20109 Aurora Ave N Ste 105, Shoreline, WA 98133-3127 | 2007-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
Find all providers in zip 98133 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316045743 | Benjamin Timothy Harris | Physical Therapist | 20214 Ballinger Way Ne, Shoreline, WA 98155-1144 | 2006-09-20 |
1245294917 | Integrated Manual Therapy, LLC | Physical Therapist | 18021 15th Ave Ne, Suite 201, Shoreline, WA 98155-3809 | 2006-04-12 |
1578691929 | Renaissance Physical Therapy, Nw, Ps | Physical Therapist | 20214 Ballinger Way Ne, B2, Shoreline, WA 98155-1144 | 2007-02-28 |
1861587677 | Maria Luisa Asistio | Physical Therapist | 20214 Ballinger Way Ne, Shoreline, WA 98155-1144 | 2006-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
1508475674 | Gretchen Stein | Physical Therapist | 17792 147th St Se # 1030, Monroe, WA 98272-1030 | 2020-07-24 |
1194358713 | Heather Salzer | Physical Therapist | 1610 Commercial Ave # 1-a, Anacortes, WA 98221-2275 | 2020-02-21 |
1851930721 | Arlene Mckinnon | Physical Therapist | 1506 14th St, Port Townsend, WA 98368-8502 | 2019-12-24 |
1457992273 | B3 Physical Therapy and Wellness, Pllc | Physical Therapist | 14510 49th Dr Se, Everett, WA 98208-8975 | 2019-10-02 |
1154883601 | Mariah Joy Tank | Physical Therapist | 5410 California Ave Sw # 101, Seattle, WA 98136-1562 | 2019-04-03 |
1912464918 | Coty Lee Thomas | Physical Therapist | 21525 Hwy 410 E Ste B, Bonney Lake, WA 98391-4101 | 2019-02-26 |
1366925075 | Michael Westbrooks | Physical Therapist | 1445 Nw Mall St, Issaquah, WA 98027-7900 | 2018-09-09 |
1295244887 | Gregory Lloyd | Physical Therapist | 1407 E 72nd St Ste A100, Tacoma, WA 98404-5906 | 2017-09-26 |
1457878035 | Sumner Specialized Physical Therapy, Pllc | Physical Therapist | 212 W Birch Ave, Colville, WA 99114-2440 | 2017-08-24 |
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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.