MIMI M RACICOT (NPI# 1205992807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205992807 |
| Entity Type | Individual |
| Full Name | MIMI M RACICOT |
| Other Name | MARY RACICOT |
| Credential | PT |
| Practice Address |
3400 California Ave Sw Ste 100 Seattle WA 98116 |
| Practice Telephone | 2063205510 |
| Practice Fax Number | 2063205522 |
| Mailing Telephone | 2063205510 |
| Mailing Fax Number | 2063205522 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT00002871 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR AND INDUSTRIES | 0195785 | 01 |
| WA | 8422222 | 05 |
| Street Address |
3400 CALIFORNIA AVE SW STE 100 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396722260 | Dynacare Northwest, Inc | Clinical Medical Laboratory | 3400 California Ave Sw, Suite 300, Seattle, WA 98116-3358 | 2005-12-30 |
| 1760836571 | Reena Ramakrishnan | Family Medicine | 3400 California Ave Sw, Seattle, WA 98116-3307 | 2016-04-18 |
| 1245693332 | Laboratory Corporation of America | Clinical Medical Laboratory | 3400 California Ave Sw, Suite 300, Seattle, WA 98116-3307 | 2016-04-05 |
| 1841670619 | The Polyclinic | Allergy & Immunology | 3400 California Ave Sw, Suite 200, Seattle, WA 98116-3307 | 2015-06-05 |
| 1538568654 | Ursula Vanessa Melendez | Registered Nurse | 3400 California Ave Sw, Seattle, WA 98116 | 2014-08-14 |
| 1679905731 | Bianca Marcu | Physician Assistant | 3400 California Ave Sw, Seattle, WA 98116-3307 | 2013-07-31 |
| 1437412806 | Christian A Dean | Family Medicine | 3400 California Ave Sw, Seattle, WA 98116-3307 | 2012-06-20 |
| 1508199597 | Dynacare Northwest Inc | Clinical Medical Laboratory | 3400 California Ave Sw, Ste 300, Seattle, WA 98116-3307 | 2009-09-09 |
| 1912131913 | Kimberly B Simmons | Family Medicine | 3400 California Ave Sw, Seattle, WA 98116 | 2009-05-06 |
| 1811148299 | Stephanie L Greene | Physical Therapist | 3400 California Ave Sw, Suite 100, Seattle, WA 98116-3307 | 2008-10-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992229702 | Franciscan City Urgent Care Services, Ps | Clinic/Center | 3900 Sw Alaska St, Seattle, WA 98116 | 2017-08-02 |
| 1538692280 | Stacey Devenney | Counselor | 3026 52nd Ave Sw, Seattle, WA 98116 | 2017-04-10 |
| 1336698786 | Andrew Creed Gray | Physical Therapist | 3727 California Ave. Sw, Suite 1-a, Seattle, WA 98116 | 2016-09-27 |
| 1295281038 | Jenny Monfore | Mechanotherapist | 6633 Sw Admiral Way, Seattle, WA 98116 | 2016-08-31 |
| 1043666175 | Gretchen Gerhardt | Counselor | 3272 California Ave Sw Ste 300, Seattle, WA 98116 | 2016-05-07 |
| 1609274307 | Lekea Sharon Sarah Itero | Counselor | 1116 Summit Avenue Therapeutic Health Services, Seattle, WA 98116 | 2014-12-11 |
| 1306275284 | Elizabeth Davis | Dentist | 14212 Ambaum Blvd. Sw, Suite 100, Burien, WA 98116 | 2013-11-01 |
| 1689912859 | Seattle Pain and Wellness Institute | Clinic/Center | 4701 41st Ave., Sw, Suite 120, Seattle, WA 98116 | 2013-01-23 |
| 1851637953 | Chrissandra Ann Snider | Massage Therapist | 3258 California Ave Sw Ste D, Seattle, WA 98116 | 2012-12-17 |
| 1528302908 | Samara K Hoag | Registered Nurse | 3429 - 45th Ave Sw, Madison Middle School, Seattle, WA 98116 | 2012-11-26 |
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| 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 |
|---|---|---|---|---|
| 1124629654 | Carol Strassman | Physical Therapist | 200 15th Ave E # 2wb2n, Seattle, WA 98112-5260 | 2020-11-02 |
| 1457950784 | Bethoney Joy Mcandrews | Physical Therapist | 5408 Meridian Ave N Apt 205, Seattle, WA 98103-6100 | 2020-10-19 |
| 1124635727 | Shannon Russell | Physical Therapist | 4649 Sunnyside Ave N Ste 302, Seattle, WA 98103-6955 | 2020-09-28 |
| 1215541719 | Matthew Plantinga | Physical Therapist | 3121 E Madison St Ste 200, Seattle, WA 98112-4262 | 2020-09-02 |
| 1952913030 | Elisa Maria Gapin | Physical Therapist | 1717 22nd Ave Unit 219, Seattle, WA 98122-6285 | 2020-08-19 |
| 1043833692 | Kirbach Physical Therapy, Pllc | Physical Therapist | 11300 5th Ave Ne Apt 5, Seattle, WA 98125-6115 | 2020-05-18 |
| 1801421086 | Groovin' Physical Therapy LLC | Physical Therapist | 10734 17th Ave Ne, Seattle, WA 98125-6506 | 2020-03-07 |
| 1811529431 | Drew Beland | Physical Therapist | 10530 Alton Ave Ne, Seattle, WA 98125-6911 | 2020-02-11 |
| 1881237238 | Andrew Chen | Physical Therapist | 1130 Nw 54th St Apt 306s, Seattle, WA 98107-3765 | 2019-10-17 |
| 1003465634 | Sean Michael Strosnider | Physical Therapist | 2611 Ne 125th St Ste 140, Seattle, WA 98125-4357 | 2019-09-06 |
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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.