INTEGRATED CENTER FOR OPTIMUM HEALTH, LLC (NPI# 1073674388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073674388 |
| Entity Type | Organization |
| Organization Name | INTEGRATED CENTER FOR OPTIMUM HEALTH, LLC |
| Practice Address |
1218 3rd Ave Ste 104 Seattle WA 98101 |
| Mailing Address |
1218 3rd Ave Ste 104 Seattle WA 98101-3008 |
| Practice Telephone | 2064472220 |
| Practice Fax Number | 2064472228 |
| Mailing Telephone | 2064472220 |
| Mailing Fax Number | 2064472228 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | PAUL DE BEIJL (OWNER) |
| Authorized Official Telephone | 2066232220 |
| Authorized Official Credential | L.AC, PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 171100000X | Acupuncturist | AC00002074 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEPT OF LABOR & INDUSTRIE | 162840 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811386212 | Integrated Center for Optimum Health, LLC | Massage Therapist | 720 Olive Way Ste 900, Seattle, WA 98101 | 2015-01-22 |
| 1407053192 | Integrated Center for Optimum Health, LLC | Acupuncturist | 2505 2nd Ave Ste 100, Seattle, WA 98121 | 2007-06-27 |
| 1598011751 | Integrated Center for Optimum Health, LLC | Massage Therapist | 701 5th Ave Ste 2160, Seattle, WA 98104 | 2012-07-25 |
| 1164653408 | Integrated Center for Optimum Health, LLC | Acupuncturist | 1227 N 205th St, Shoreline, WA 98133 | 2009-08-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | INTEGRATED CENTER FOR OPTIMUM HEALTH, LLC | 1218 3rd Ave Ste 401, Seattle, WA 98101-3097 |
| Street Address |
1218 3RD AVE STE 104 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346874252 | Jessica Marie Hogan | Physical Therapist | 1218 3rd Ave Ste 104, Seattle, WA 98101-3008 | 2020-02-29 |
| 1396380630 | Lauren Rae Zilke | Physical Therapist | 1218 3rd Ave Ste 104, Seattle, WA 98101-3008 | 2019-11-11 |
| 1093364572 | Kara Walther | Physical Therapist | 1218 3rd Ave Ste 104, Seattle, WA 98101-3008 | 2019-09-08 |
| 1336705979 | Wesley Schlesinger | Physical Therapist | 1218 3rd Ave Ste 104, Seattle, WA 98101-3008 | 2019-05-18 |
| 1578043089 | Jacob John Kmiecik | Physical Therapist | 1218 3rd Ave Ste 104, Seattle, WA 98101-3008 | 2018-08-15 |
| 1235619743 | Caitlin Strasser | Physical Therapy Assistant | 1218 3rd Ave Ste 104, Seattle, WA 98101-3008 | 2018-08-15 |
| 1881147163 | Mallory Olmstead | Physical Therapy Assistant | 1218 3rd Ave Ste 104, Seattle, WA 98101-3008 | 2016-08-03 |
| 1164896163 | Juan Loina | Case Manager/Care Coordinator | 1218 3rd Ave Ste 104, Seattle, WA 98101-3008 | 2015-11-14 |
| 1346635042 | Lorraine Rotanelli | Massage Therapist | 1218 3rd Ave Ste 104, Lobby Level, Seattle, WA 98101-3008 | 2015-03-31 |
| 1013199090 | Jesica R Ball | Massage Therapist | 1218 3rd Ave Ste 104, Seattle, WA 98101-3008 | 2007-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1699313353 | Eunyoung Kim | Pharmacist | 925 Seneca Street, H3-pi, Seattle, WA 98101 | 2019-12-12 |
| 1407405657 | Maryanne Wambui Mirie | Registered Nurse | Josephinum 1902 2 Nd Ave, C/o Crew ., Seattle, WA 98101 | 2019-09-10 |
| 1437714854 | Bossakara Sokhom | Student in an Organized Health Care Education/Training Program | 925 Seneca St. Mailstop H8-gme, Seattle, WA 98101 | 2019-05-01 |
| 1841752516 | Hai Quan Ngoc Truong | Student in an Organized Health Care Education/Training Program | 925 Seneca St, H8-gme, Seattle, WA 98101 | 2019-04-02 |
| 1134689318 | Kaitlin Alyse Geck | Student in an Organized Health Care Education/Training Program | 928 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2019-03-22 |
| 1659860088 | Jaime Mauricio Jimenez | Student in an Organized Health Care Education/Training Program | Virginia Mason 925 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2018-05-01 |
| 1184156861 | Benjamin Perin | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, H8-gme, Virginia Mason, Seattle, WA 98101 | 2017-03-31 |
| 1316478258 | John Robert Coleman | Anesthesiology | 1100 9th Ave Ms: M4-pfs, Seattle, WA 98101 | 2017-03-22 |
| Find all providers in zip 98101 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413008 | Katrina V Uribe | Acupuncturist | 4303 Woodland Park Ave N, Seattle, WA 98103-7426 | 2020-09-23 |
| 1750992087 | Chelsea Nicole Mikula-chao | Acupuncturist | 10215 Greenwood Ave N Unit S301, Seattle, WA 98133-9338 | 2020-08-11 |
| 1366050718 | Yunhan John Zheng | Acupuncturist | 1111 N 82nd St, Seattle, WA 98103-4404 | 2020-07-21 |
| 1114542131 | Alissa J Hickerson | Acupuncturist | 5512 Roosevelt Way Ne, Seattle, WA 98105-3631 | 2020-06-15 |
| 1114548732 | Dirk Phirose Hein | Acupuncturist | 2400 E Boston St Unit 100, Seattle, WA 98112-3060 | 2020-05-05 |
| 1457986713 | Devin Anne Mcdermott | Acupuncturist | 201 W Olympic Pl Apt 208, Seattle, WA 98119-4758 | 2020-03-06 |
| 1699315275 | Charlie Feiman Yen | Acupuncturist | 626 S Jackson St, Seattle, WA 98104-2911 | 2020-01-10 |
| 1942846530 | Karin Jespersen | Acupuncturist | 404 E Harrison St Apt 201, Seattle, WA 98102-5280 | 2019-11-19 |
| 1043854136 | Olivia Hadenfeldt | Acupuncturist | 2441 8th Ave N Apt D, Seattle, WA 98109-2216 | 2019-10-31 |
| 1730738568 | Hector Trujillo | Acupuncturist | 1109 N Allen Pl Apt 100, Seattle, WA 98103-7457 | 2019-09-04 |
| Find all providers in SEATTLE | ||||
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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.