SUMMIT REHABILITATION LLC NPI 1003003591

Physical Therapist in Snohomish, WA

About SUMMIT REHABILITATION LLC

Summit Rehabilitation Llc is a provider in Snohomish, WA. The NPI number assigned to this provider is 1003003591. The practitioner's primary taxonomy code is Physical Therapist (225100000X). The provider is registered as an organization and their NPI record was last updated 10 years ago. Summit Rehabilitation Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Snohomish Clinic.

NPI1003003591 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameSUMMIT REHABILITATION LLC
Provider Location Address231 AVENUE D SNOHOMISH, WA 98290 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address11805 N CREEK PKWY S SUITE 113 BOTHELL, WA 98011 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?Yes Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameSNOHOMISH CLINIC Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeOther Name (5)
Enumeration Date09-27-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date03-24-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

SUMMIT REHABILITATION LLC
231 AVENUE D
SNOHOMISH, WA
ZIP 98290
Phone: (360) 563-1020
Fax: (360) 563-9040
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Mailing Address

SUMMIT REHABILITATION LLC
11805 N CREEK PKWY S
SUITE 113
BOTHELL, WA
ZIP 98011
Phone: (425) 806-5700
Fax: (425) 806-5701

Primary Taxonomy

Taxonomy Code225100000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPhysical Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description(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.

Authorized Official

Authorized Official NameMISS DEBBIE BAKER Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleFINANCE DIRECTOR
Authorized Official Phone(425) 806-5700

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
4506830003MEDICARE NSC (07)WA
GAB14907MEDICARE PIN (08)WA

Map Location


SUMMIT REHABILITATION LLC address is 231 AVENUE D SNOHOMISH, WA 98290

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114448503 NICHOLAS LEE CARTER
Individual
Physical Therapist231 AVENUE D
SNOHOMISH, WA 98290
1326439050 ANDREA VOS
Individual
Physical Therapy Assistant231 AVENUE D
SNOHOMISH, WA 98290
(360) 563-1020
1497896575MRS. NANCY C FOGEL PT
Individual
Physical Therapist231 AVENUE D
SNOHOMISH, WA 98290
(360) 563-1020
1730580689 GIA MARIE CALABRESE PT
Individual
Physical Therapist231 AVENUE D
SNOHOMISH, WA 98290
(360) 563-1020
1912048737MR. TIMOTHY M PETERSON PT
Individual
Physical Therapist231 AVENUE D
SNOHOMISH, WA 98290
(360) 563-1020