REBECCA A FORKAN (NPI# 1629192497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629192497 |
| Entity Type | Individual |
| Full Name | REBECCA A FORKAN |
| Credential | P.T. |
| Practice Address |
20109 Aurora Ave N Ste 105 Shoreline WA 98133-3127 |
| Mailing Address |
8007 Ne 147th Ln Kenmore WA 98028-4762 |
| Practice Telephone | 2068017546 |
| Practice Fax Number | 2068017547 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2017-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
PT00009853 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT00009853 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
20109 AURORA AVE N STE 105 |
| City | SHORELINE |
| State | WA |
| Zip Code | 98133-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164546016 | Waterfront Sports and Physical Therapy | Physical Therapist | 20109 Aurora Ave N Ste 105, Shoreline, WA 98133-3127 | 2007-03-18 |
| 1134778582 | Jamie Maloy | Physical Therapist | 20109 Aurora Ave N Ste 105, Shoreline, WA 98133-3127 | 2019-09-09 |
| 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 | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083941264 | Steven Wesley Heinrich | Physical Therapist | 1322 North Ash Street, Walgreens / Option Care Home Care, Spokane, WA 99201-2804 | 2009-11-10 |
| 1386252484 | Corey M O'malley Pt, Dpt, Pllc | Physical Therapist | 12707 120th Ave Ne Ste 100, Kirkland, WA 98034-7500 | 2020-07-15 |
| 1023671625 | Reverve LLC | Physical Therapist | 114 Alaskan Way S Apt 506, Seattle, WA 98104-2585 | 2019-04-18 |
| 1891276994 | Caitlin Paskewich | Physical Therapist | 110 110th Ave Ne Ste 110, Bellevue, WA 98004-5840 | 2018-08-27 |
| 1003218447 | Robert Joseph Roller Jr. | Physical Therapist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2014-09-17 |
| 1740689520 | G4 Athlete LLC | Physical Therapist | 2737 77th Ave Se, Suite 214, Mercer Island, WA 98040-2830 | 2014-08-18 |
| 1629414123 | Michael James Tankovich | Physical Therapist | 12 Seahawks Way, Renton, WA 98056-1572 | 2013-05-11 |
| 1407993553 | Randy A Notebloom | Physical Therapist | 904 7th Ave, Seattle, WA 98104-1132 | 2007-01-30 |
| 1356413280 | Jet City Enterprists Inc | Physical Therapist | 11304 8th Ave Ne, Suite A, Seattle, WA 98125-6111 | 2006-11-15 |
| 1922087386 | Erin E Patterson | Physical Therapist | Naval Hospital Bremerton, Bremerton, WA 98370-0000 | 2006-01-13 |
| Find all providers with the same taxonomy | ||||
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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.