INTEGRATED MANUAL THERAPY, LLC (NPI# 1245294917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245294917 |
Entity Type | Organization |
Organization Name | INTEGRATED MANUAL THERAPY, LLC |
Practice Address |
18021 15th Ave Ne Suite 201 Shoreline WA 98155-3809 |
Practice Telephone | 2063625255 |
Practice Fax Number | 2063625260 |
Mailing Telephone | 2063625255 |
Mailing Fax Number | 2063625260 |
Enumeration Date | 2006-04-12 |
Last Update Date | 2020-08-22 |
Authorized Official Name | EDWARD J ELDER (OFFICE MANAGER) |
Authorized Official Telephone | 2063625255 |
Authorized Official Credential | MS, ATC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT00005030 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
X | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT00003039 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
X | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT00000735 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
X | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
18021 15TH AVE NE SUITE 201 |
City | SHORELINE |
State | WA |
Zip Code | 98155-3809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972989069 | Shoreline Eyecare PC | Optometrist | 18021 15th Ave Ne, Suite 100, Shoreline, WA 98155-3806 | 2015-07-31 |
1851651202 | Rebecca Marie Musselwhite | Contractor | 18021 15th Ave Ne, Suite #200, Shoreline, WA 98155-3806 | 2012-05-19 |
1932300753 | Anne C. Geil | Specialist | 18021 15th Ave Ne, 106, Shoreline, WA 98155-3809 | 2007-05-30 |
1003025842 | James Benjamin Mendoza | Massage Therapist | 18021 15th Ave Ne, #200, Shoreline, WA 98155 | 2007-05-21 |
1992837348 | Amy Kramer Hawks | Specialist | 18021 15th Ave Ne, Ste 200, Shoreline, WA 98155 | 2007-03-12 |
1982775813 | John Tong | Chiropractor | 18021 15th Ave Ne, Suite 200, Shoreline, WA 98155 | 2006-11-13 |
1154421907 | Timothy C Geil | Specialist/Technologist, Other | 18021 15th Ave Ne, Shoreline, WA 98155 | 2006-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922575703 | Dale Worrell | Counselor | Center for Human Services, 17018 15th Ave Ne, Shoreline, WA 98155 | 2018-10-30 |
1770060568 | Jason Freed | Occupational Therapist | 1250 Ne 145th St., Shoreline, WA 98155 | 2018-07-24 |
1497208771 | Mirit Markowitz | Counselor | 14803 15 Ave Ne, Seattle, WA 98155 | 2016-08-03 |
1003207788 | Jessica Hinckley | Counselor | 17018 15tth Ave Ne, Shoreline, WA 98155 | 2015-02-17 |
1407119001 | Erika Tydor | Optometrist | 18021 15th Ave Ne Suite 100, Shoreline, WA 98155 | 2012-06-19 |
1891075917 | Kieran Joseph Mcmanimon | Massage Therapist | 18724 35th Ave Ne, Lake Forest Park, WA 98155 | 2011-08-20 |
1376841270 | Kym Kolb | Massage Therapist | 17908 15th Ave Ne, Shoreline, WA 98155 | 2011-03-02 |
1205069333 | Acclaim Body Care, LLC | Massage Therapist | 17517 15th Ave., Suite B, Shoreline, WA 98155 | 2009-08-24 |
1881834570 | Jason Sailesh Dave | Naturopath | 2871 University St, Seattle, WA 98155 | 2009-02-20 |
1396918975 | Ashleigh Veronique Schultz | Counselor | 216 Ne 175th Street, Shoreline, WA 98155 | 2008-04-04 |
Find all providers in zip 98155 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
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 |
1316045743 | Benjamin Timothy Harris | Physical Therapist | 20214 Ballinger Way Ne, Shoreline, WA 98155-1144 | 2006-09-20 |
1578691929 | Renaissance Physical Therapy, Nw, Ps | Physical Therapist | 20214 Ballinger Way Ne, B2, Shoreline, WA 98155-1144 | 2007-02-28 |
1861587677 | Maria Luisa Asistio | Physical Therapist | 20214 Ballinger Way Ne, Shoreline, WA 98155-1144 | 2006-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
1508475674 | Gretchen Stein | Physical Therapist | 17792 147th St Se # 1030, Monroe, WA 98272-1030 | 2020-07-24 |
1194358713 | Heather Salzer | Physical Therapist | 1610 Commercial Ave # 1-a, Anacortes, WA 98221-2275 | 2020-02-21 |
1851930721 | Arlene Mckinnon | Physical Therapist | 1506 14th St, Port Townsend, WA 98368-8502 | 2019-12-24 |
1457992273 | B3 Physical Therapy and Wellness, Pllc | Physical Therapist | 14510 49th Dr Se, Everett, WA 98208-8975 | 2019-10-02 |
1154883601 | Mariah Joy Tank | Physical Therapist | 5410 California Ave Sw # 101, Seattle, WA 98136-1562 | 2019-04-03 |
1912464918 | Coty Lee Thomas | Physical Therapist | 21525 Hwy 410 E Ste B, Bonney Lake, WA 98391-4101 | 2019-02-26 |
1366925075 | Michael Westbrooks | Physical Therapist | 1445 Nw Mall St, Issaquah, WA 98027-7900 | 2018-09-09 |
1295244887 | Gregory Lloyd | Physical Therapist | 1407 E 72nd St Ste A100, Tacoma, WA 98404-5906 | 2017-09-26 |
1457878035 | Sumner Specialized Physical Therapy, Pllc | Physical Therapist | 212 W Birch Ave, Colville, WA 99114-2440 | 2017-08-24 |
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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.