LIBERTY PHYSICAL THERAPY (NPI# 1265701395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265701395 |
| Entity Type | Organization |
| Organization Name | LIBERTY PHYSICAL THERAPY |
| Practice Address |
1820 12th Ave Suite 101 Seattle WA 98122-2438 |
| Mailing Address |
9000 Se 45th St Mercer Island WA 98040-4144 |
| Practice Telephone | 2068603746 |
| Mailing Telephone | 2067786405 |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |
| Authorized Official Name | DR. KIM BENNETT (PHYSICAL THERAPIST/OWNER MANAGER) |
| Authorized Official Telephone | 2067786405 |
| Authorized Official Credential | PT PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
00002906 | WA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306851282 | Liberty Physical Therapy | Physical Therapist | 872 Smithfield Ave, Lincoln, RI 02865 | 2006-07-30 |
| 1396884177 | Liberty Physical Therapy | Physical Therapist | 1200 Highway 90, Liberty, TX 77575-5718 | 2007-02-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LIBERTY PHYSICAL THERAPY P.C. | 128-09 Liberty Ave, Richmond Hill, New York 11419 |
| Washington State Corporations | LIBERTY PHYSICAL THERAPY PLLC | 9000 Se 45th St, Mercer Island, WA 98040-4144 |
| Street Address |
1820 12TH AVE SUITE 101 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-2438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619977766 | Barry Eben | Psychologist | 1820 12th Ave, Suite 5, Seattle, WA 98122-2438 | 2005-07-29 |
| 1215540612 | Elizabeth Dios | Social Worker | 1820 12th Ave, Seattle, WA 98122-2438 | 2020-08-25 |
| 1669944245 | Sara Mussa | Dietitian, Registered | 1820 12th Ave, Seattle, WA 98122-2438 | 2018-12-20 |
| 1083033740 | Jennifer Creson | Counselor | 1820 12th Ave, Suite 201, Seattle, WA 98122-2438 | 2014-04-09 |
| 1932498441 | Seattle Physical Therapy Solutions LLC | Physical Therapist | 1820 12th Ave, Suite 101, Seattle, WA 98122-2438 | 2011-04-05 |
| 1881907590 | Kate M Bradfield | Massage Therapist | 1820 12th Ave, Suite #203, Seattle, WA 98122-2438 | 2010-07-22 |
| 1528236833 | Jacqueline Wendy Leibsohn | Psychologist | 1820 12th Ave, Seattle, WA 98122-2438 | 2008-02-20 |
| 1437379153 | Jill Lee | Counselor | 1820 12th Ave, Seattle, WA 98122-2438 | 2007-04-26 |
| 1568505675 | Amalia Morsi | Massage Therapist | 1820 12th Ave, Suite 202, Seattle, WA 98122-2438 | 2007-02-15 |
| 1457406316 | Andrew Peter Thompson | Psychologist | 1820 12th Ave, Seattle, WA 98122-2438 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912931 | Pt4all Pllc | Clinic/Center | 2130 N 114th St, Seattle, WA 98133-8507 | 2020-11-05 |
| 1124632609 | Upward Physical Therapy and Wellness LLC | Clinic/Center | 4027 Leary Way Nw, Seattle, WA 98107-5045 | 2020-09-02 |
| 1255949178 | Vantage Physical Therapy | Clinic/Center | 2710 S King St, Seattle, WA 98144-2446 | 2020-07-16 |
| 1902420821 | Real Time Physical Therapy | Clinic/Center | 3710 27th Pl W Apt 205, Seattle, WA 98199-2055 | 2020-06-05 |
| 1740803246 | Bouma Orthosport, LLC | Clinic/Center | 4037 46th Ave Sw, Seattle, WA 98116-3725 | 2020-05-19 |
| 1134765563 | Forged Athlete Pllc | Clinic/Center | 2211 3rd Ave Unit 3, Seattle, WA 98121-2018 | 2019-11-20 |
| 1194360255 | Morgan Kriz LLC | Clinic/Center | 2001 Westlake Ave N Unit 36, Seattle, WA 98109-2733 | 2019-11-13 |
| 1124591060 | Emerald Physical Therapy and Pilates, Pllc | Clinic/Center | 1401 Nw 70th St, Seattle, WA 98117-5340 | 2019-01-03 |
| 1710405964 | Next Level Sports Performance Consulting | Clinic/Center | 24 Roy Street, #461, Seattle, WA 98109 | 2017-09-07 |
| 1790210557 | Butterfly Medicine | Clinic/Center | 13323 23rd Pl Ne, Apt B, Seattle, WA 98125-4213 | 2017-04-28 |
| 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.