GREEN GRASS PHYSICAL THERAPY, LLC (NPI# 1295039352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295039352 |
| Entity Type | Organization |
| Organization Name | GREEN GRASS PHYSICAL THERAPY, LLC |
| Practice Address |
2319 N 45th St Suite 202 Seattle WA 98103-6982 |
| Practice Telephone | 2069109590 |
| Mailing Telephone | 2069109590 |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2015-05-05 |
| Authorized Official Name | DR. SOUNDUS MACHTLEY (PRESIDENT) |
| Authorized Official Telephone | 2069109590 |
| Authorized Official Credential | PT, DPT, OCS, MT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT00010361 | WA | Ambulatory Health Care Facilities |
| Street Address |
2319 N 45TH ST SUITE 202 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98103-6982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982622957 | Rachel A Fay | Counselor | 2319 N 45th St, Ste 313, Seattle, WA 98103-6982 | 2006-07-18 |
| 1912365255 | Deep Roots Therapy, Pllc | Marriage & Family Therapist | 2319 N 45th St, #110, Seattle, WA 98103-6982 | 2016-02-01 |
| 1598146458 | Rosalind Ando | Counselor | 2319 N 45th St, Suite 309, Seattle, WA 98103 | 2015-06-16 |
| 1992195952 | Dwayne Robert Stone | Counselor | 2319 N 45th St, Suite 109, Seattle, WA 98103-6982 | 2015-01-29 |
| 1386051183 | Amanda Spiess | Behavioral Analyst | 2319 N 45th St, Seattle, WA 98103-6982 | 2014-07-14 |
| 1306261805 | Melinda Stone | Counselor | 2319 N 45th St, Seattle, WA 98103-6982 | 2014-02-20 |
| 1598188955 | Juan Pablo Valbuena, Psyd, Pllc | Psychologist | 2319 N 45th St, #106, Seattle, WA 98103-6982 | 2014-01-21 |
| 1700213048 | Margaret Kelly | Counselor | 2319 N 45th St, Suite 109, Seattle, WA 98103-6982 | 2013-10-01 |
| 1841623899 | Karen Michelle La Croix | Contractor | 2319 N 45th St, Suite 214, Seattle, WA 98103 | 2013-08-14 |
| 1730428384 | Rachel Newman | Counselor | 2319 N 45th St, 313, Seattle, WA 98103-6982 | 2013-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743949 | Amy Lindsey | Naturopath | 3670 Stone Way North, Seattle, WA 98103 | 2020-09-01 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1235770512 | Donna Dianne Campbell | Technician | 748 N 95th St #202, Seattle, WA 98103 | 2019-10-08 |
| 1841844529 | Devin Bard | Counselor | 819 N 49th St, Suite 229, Seattle, WA 98103 | 2019-07-30 |
| 1811453343 | Matkel Corporation | Massage Therapist | 4459 Fremont Ave N Ste 2, Seattle, WA 98103 | 2019-02-20 |
| 1063980381 | Dennis Gordon Grove | Counselor | 701 N 36th St, Ste 300, Seattle, WA 98103 | 2018-11-05 |
| 1962994681 | Taja Estrada | Psychologist | 7222 Linden Avenue N, Suite A, Seattle, WA 98103 | 2018-05-30 |
| 1073015129 | Kelly A Robison | Massage Therapist | 4459 Fremont Ave North, Suite 2, Seattle, WA 98103 | 2018-03-05 |
| 1609387927 | Andrew Rogers | Counselor | 1307 North 45th Street, Suite 200, Seattle, WA 98103 | 2017-10-13 |
| 1720513096 | Fedora Katz | Dentist | 2108 N Pacific Street Ap 203, Seattle, WA 98103 | 2017-04-25 |
| Find all providers in zip 98103 | ||||
| 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.