SNOHOMISH CLINIC (SUMMIT REHABILITATION LLC) NPI 1003003591
Physical Therapist in Snohomish, WA
About SNOHOMISH CLINIC (SUMMIT REHABILITATION LLC)
Snohomish Clinic (summit Rehabilitation Llc) is a provider established in Snohomish, Washington specializing in physical therapist. The NPI number of Snohomish Clinic (summit Rehabilitation Llc) is 1003003591 and was assigned on September 2007. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Snohomish Clinic (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. The authorized official of this NPI record is Miss Debbie Baker (Finance Director)
| NPI | 1003003591 |
| Provider Name | SNOHOMISH CLINIC (SUMMIT REHABILITATION LLC) |
| Provider Location Address | 231 AVENUE D SNOHOMISH, WA 98290 |
| Provider Mailing Address | 11805 N CREEK PKWY S SUITE 113 BOTHELL, WA 98011 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | Yes |
| Other Organization Name | SNOHOMISH CLINIC |
| Other Name Type | Other Name (5) |
| Enumeration Date | 09-27-2007 |
| Last Update Date | 03-24-2008 |
Primary Taxonomy
| Taxonomy Code | 225100000X |
| Classification | Physical Therapist |
| Type | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Description | Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
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Business Address
SNOHOMISH CLINIC
231 AVENUE D
SNOHOMISH, WA
ZIP 98290
Phone: (360) 563-1020
Fax: (360) 563-9040
Mailing Address
SNOHOMISH CLINIC
11805 N CREEK PKWY S
SUITE 113
BOTHELL, WA
ZIP 98011
Phone: (425) 806-5700
Fax: (425) 806-5701
Group Taxonomy
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 |
|---|---|---|
| 4506830003 | MEDICARE NSC (07) | WA |
| GAB14907 | MEDICARE PIN (08) | WA |
Other Providers at the same location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1003392523 | TYLER ANTHONY COX Individual | Physical Therapist | 231 AVENUE D SNOHOMISH, WA 98290 (425) 239-3145 |
| 1043793698 | KATHERINE TOUGAS DPT Individual | Physical Therapist | 231 AVENUE D SNOHOMISH, WA 98290 (360) 563-1020 |
| 1114448503 | NICHOLAS LEE CARTER Individual | Physical Therapist | 231 AVENUE D SNOHOMISH, WA 98290 |
| 1326439050 | ANDREA VOS Individual | Physical Therapy Assistant | 231 AVENUE D SNOHOMISH, WA 98290 (360) 563-1020 |
| 1497896575 | MRS. NANCY C FOGEL PT Individual | Physical Therapist | 231 AVENUE D SNOHOMISH, WA 98290 (360) 563-1020 |
| 1518511997 | DR. SAMANTHA JOAN CHISHOLM PT Individual | Physical Therapist | 231 AVENUE D SNOHOMISH, WA 98290 (360) 563-1020 |
| 1730580689 | GIA MARIE CALABRESE PT Individual | Physical Therapist | 231 AVENUE D SNOHOMISH, WA 98290 (360) 563-1020 |
| 1801421573 | RAILEY NADINE HANSEN-KEITH DPT Individual | Physical Therapist | 231 AVENUE D SNOHOMISH, WA 98290 (360) 563-1020 |
| 1912048737 | MR. TIMOTHY M PETERSON PT Individual | Physical Therapist | 231 AVENUE D SNOHOMISH, WA 98290 (360) 563-1020 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.
Provider Other Organization Name
The other organization name is 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. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary 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.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.