INTEGRATED CENTER FOR OPTIMUM HEALTH, LLC (NPI# 1407053192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407053192 |
| Entity Type | Organization |
| Organization Name | INTEGRATED CENTER FOR OPTIMUM HEALTH, LLC |
| Practice Address |
2505 2nd Ave Ste 100 Seattle WA 98121 |
| Mailing Address |
1201 3rd Ave Ste 450 Seattle WA 98101-3000 |
| Practice Telephone | 2066244020 |
| Practice Fax Number | 2064433888 |
| Mailing Telephone | 2064472220 |
| Mailing Fax Number | 2064472228 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2018-05-21 |
| 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 | 171100000X | Acupuncturist | AC00002074 | WA | Other Service Providers |
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I GROUP # | 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 |
| 1073674388 | Integrated Center for Optimum Health, LLC | Massage Therapist | 1218 3rd Ave Ste 104, Seattle, WA 98101 | 2006-12-12 |
| 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 |
2505 2ND AVE STE 100 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568669406 | Core Physical Therapy PC | Clinic/Center | 2505 2nd Ave Ste 100, Seattle, WA 98121-1464 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963233 | Mehrangiz Peimai | Interpreter | 2020 Terry Ave #203, Seattle, WA 98121 | 2020-08-21 |
| 1649839614 | Lisa Williams | Counselor | El Ray, 2119 2nd Ave, Seattle, WA 98121 | 2019-06-12 |
| 1629634332 | Emmanuel K Acheampong Jr. | Physical Therapist | 2720 4th Ave Apt 115, Seattle, WA 98121 | 2019-05-17 |
| 1538650049 | Laura Rochelle Sauvage | Dentist | 2045 Westlake Ave, Seattle, WA 98121 | 2018-05-21 |
| 1407354657 | Vera Whole Health Wa PC | Clinic/Center | 2318 4th Avenue, Seattle, WA 98121 | 2018-01-23 |
| 1881114601 | Brandon Tyler Thompson | Counselor | 2119 2nd Ave., Seattle, WA 98121 | 2017-06-22 |
| 1255886677 | Nkiruka Aderogba | Nurse Practitioner | 300 Lenora Street, Seattle, WA 98121 | 2016-08-16 |
| 1770924227 | Virginia J. Washburn | Marriage & Family Therapist | 2021 - 1st Ave., #g2, Seattle, WA 98121 | 2013-07-12 |
| 1700139706 | Maxine K Anderson | Psychoanalyst | 2100 Western Ave, #69, Seattle, WA 98121 | 2012-10-16 |
| 1790036903 | Neal Christopher Raval | Dentist | 2801 1st Avenue, #509, Seattle, WA 98121 | 2012-09-27 |
| Find all providers in zip 98121 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769088 | Alison K Rostholder-harris | Massage Therapist | 1202 E Pine St Unit 101, Seattle, WA 98122-3929 | 2020-10-26 |
| 1982201976 | Ashley Beth Metzger | Massage Therapist | 9449 25th Ave Sw, Seattle, WA 98106-2633 | 2020-10-03 |
| 1639786379 | Tiana M. Duncan | Massage Therapist | 3250 Airport Way S Ste 322, Seattle, WA 98134-2167 | 2020-09-27 |
| 1073120937 | C Gale, Pllc | Massage Therapist | 3250 Airport Way S Ste 738, Seattle, WA 98134-2172 | 2020-09-24 |
| 1700491925 | Mizu Massage Seattle LLC | Massage Therapist | 3250 Airportway South, 740, Seattle, WA 98134 | 2020-09-14 |
| 1518572015 | Katrina A Gray | Massage Therapist | 918 S Horton St # 740, Seattle, WA 98134-1952 | 2020-09-11 |
| 1063026375 | Alycia Anne Lochridge | Massage Therapist | 313 27th Ave S, Seattle, WA 98144-2409 | 2020-09-03 |
| 1811508039 | Kathryn Steinfort | Massage Therapist | 4464 Fremont Ave N Ste 102, Seattle, WA 98103-7290 | 2020-08-11 |
| 1124645932 | Carl Wilson | Massage Therapist | 12345 Roosevelt Way Ne Apt 304, Seattle, WA 98125-4867 | 2020-06-26 |
| 1235755927 | Jeremy Steward | Massage Therapist | 1908 E Republican St, Seattle, WA 98112-4001 | 2020-06-18 |
| 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.