TAYLOR N AUTRY (NPI# 1194205286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194205286 |
| Entity Type | Individual |
| Full Name | TAYLOR N AUTRY |
| Practice Address |
4030 Alderwood Mall Blvd Lynnwood WA 98036-6763 |
| Mailing Address |
11514 Alba Rosa Dr Lakeside CA 92040-1254 |
| Practice Telephone | 4257760803 |
| Mailing Telephone | 6198202123 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 60851033 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1194205286 | 05 |
| Street Address |
4030 ALDERWOOD MALL BLVD |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-6763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398754 | Shanon Tysland | Specialist | 4030 Alderwood Mall Blvd, Lynnwood, WA 98036 | 2005-07-07 |
| 1215417704 | Johanna Nicole Dibble | Dietitian, Registered | 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 | 2018-08-15 |
| 1265918486 | Megan Marcella Mcarthur | Physical Therapist | 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 | 2018-07-11 |
| 1952818502 | Crystal Love Franck | Dietitian, Registered | 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 | 2018-01-04 |
| 1285149120 | Kayla Lee Acott | Massage Therapist | 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 | 2017-12-13 |
| 1720591571 | Alicia Dan Yang | Dietitian, Registered | 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 | 2017-11-14 |
| 1295252344 | Stephanie Magnin | Physical Therapist | 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 | 2017-08-29 |
| 1134661960 | Jillian Lindsey | Massage Therapist | 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 | 2016-11-10 |
| 1336523083 | Christina Renee' Stephens | Massage Therapist | 4030 Alderwood Mall Blvd, Lynnwood, WA 98036 | 2015-07-13 |
| 1679984223 | Laura Mickelson | Physical Therapist | 4030 Alderwood Mall Blvd, Lynnwood, WA 98036 | 2014-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508490970 | Jenica Faye Salvador Iglesias | Physical Therapist | 17404 60th Ave W, Lynnwood, WA 98037-2835 | 2020-02-25 |
| 1194371096 | Cindy Tan Wen | Physical Therapist | 3105 Alderwood Mall Blvd Ste A, Lynnwood, WA 98036-4703 | 2019-08-15 |
| 1003358276 | Jacob Jake Cruz | Physical Therapist | 16520 Larch Way Unit Q2, Lynnwood, WA 98037-8129 | 2016-11-04 |
| 1427431550 | Romalyn Joya Patummas | Physical Therapist | 19412 40th Ave W, Apt. 110, Lynnwood, WA 98036-5687 | 2015-07-07 |
| 1275912271 | Sonal Chitnis | Physical Therapist | 19401 40th Ave Suite 330, Lynnwood, WA 98036 | 2015-05-22 |
| 1104265412 | Martha Lake Physical Therapy Inc | Physical Therapist | 16406 7th Pl W, Lynnwood, WA 98037-8100 | 2013-06-19 |
| 1043556657 | Victoria Winbow | Physical Therapist | 3105 Alderwood Mall Blvd Ste H, Lynnwood, WA 98036-4703 | 2012-12-31 |
| 1467774109 | Daniel Cokash | Physical Therapist | 4100 194th St Sw Ste 205, Lynnwood, WA 98036-4613 | 2010-02-23 |
| 1841457934 | Jennifer Lynn Squire | Physical Therapist | 4320 196th St Sw Ste A, Lynnwood, WA 98036-6753 | 2008-05-18 |
| 1427257161 | Jong Ok Hwang | Physical Therapist | 16911 Hwy 99, Suite 105, Lynnwood, WA 98037-3104 | 2007-07-12 |
| Find all providers in LYNNWOOD | ||||
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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.