EVERETT PHYSICAL THERAPY AND SPORT PERFORMANCE CENTER PLLC (NPI# 1699713370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699713370 |
| Entity Type | Organization |
| Organization Name | EVERETT PHYSICAL THERAPY AND SPORT PERFORMANCE CENTER PLLC |
| Practice Address |
2000 Hewitt Ave #115 Everett WA 98201 |
| Mailing Address |
2000 Hewitt Ave Ste 115 Everett WA 98201-3600 |
| Practice Telephone | 4252523908 |
| Practice Fax Number | 4252527940 |
| Mailing Telephone | 4252523908 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | RICHARD BINSTEIN (VP/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 7132977052 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE BLUESHIELD GRP # | 4702EV | 01 |
| WA | DEPT. OF LABOR & INDUSTRY | 0179003 | 01 |
| WA | 7121858 | 05 | |
| WA | OWCP | 2029657-00 | 01 |
| WA | L&I CRIME VICTIMS | 8931865 | 01 |
| WA | 9054974 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003272675 | Everett Physical Therapy and Sport Performance Center Pllc | Physical Therapist | 10600 Ne 68th St, Suite C, Kirkland, WA 98033-7044 | 2016-01-12 |
| Street Address |
2000 HEWITT AVE #115 |
| City | EVERETT |
| State | WA |
| Zip Code | 98201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336693175 | Bernard Bansil | Physical Therapist | 2000 Hewitt Ave, Suite 115, Everett, WA 98201-3600 | 2016-08-10 |
| 1710430012 | Robert Salasky | Physical Therapist | 2000 Hewitt Ave, 115, Everett, WA 98201-3600 | 2016-08-03 |
| 1558753178 | Wayne Duncan | Specialist/Technologist | 2000 Hewitt Ave, Suite 100, Everett, WA 98201-3600 | 2015-02-19 |
| 1699166785 | Dustin Blevins | Physical Therapist | 2000 Hewitt Ave, #115, Everett, WA 98201-3600 | 2015-02-10 |
| 1669652244 | Rebekah C Mcclain | Physical Therapist | 2000 Hewitt Ave, Suite 115, Everett, WA 98201 | 2007-11-12 |
| 1427113174 | Integrated Rehabilitation Group Inc | Clinic/Center | 2000 Hewitt Ave, #115, Everett, WA 98201-3600 | 2006-12-22 |
| 1861552747 | Benjamin Michael Boyle | Physical Therapist | 2000 Hewitt Ave, Suite 115, Everett, WA 98201-3600 | 2006-12-11 |
| 1699887380 | Mikell Mclaury | Specialist/Technologist | 2000 Hewitt Ave, Suite 115, Everett, WA 98201-3600 | 2006-08-31 |
| 1700998499 | Robert Hamre | Specialist/Technologist | 2000 Hewitt Ave, Suite 115, Everett, WA 98201 | 2006-08-31 |
| 1871609131 | Gloria Austin | Massage Therapist | 2000 Hewitt Ave, #115, Everett, WA 98201-3600 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821659640 | Alicia Desmarais | Physical Therapist | 13020 Meridian Ave S Ste 300, Everett, WA 98208-6468 | 2019-06-24 |
| 1003374042 | Michela Anne Bodinaku | Physical Therapist | 210 Broadway Apt 103, Everett, MA 02149-2426 | 2019-03-08 |
| 1356852099 | Alice Julia Chow Bhola | Physical Therapist | Everett Bone & Joint C/o Siddharth Bhola, 1100 Pacific Ave #300, Everett, WA 98201-4261 | 2017-10-20 |
| 1053786343 | Everett Community Physical Therapy Inc. | Physical Therapist | 563 Broadway Ste 2, Everett, MA 02149-3749 | 2015-12-11 |
| 1336539428 | Theodore J. Becker | Physical Therapist | 11627 Airport Rd Ste H, Everett, WA 98204-8714 | 2015-01-28 |
| 1942602727 | Alicia Doolittle | Physical Therapist | 2000 Hewitt Ave Ste 115, Everett, WA 98201-3600 | 2014-09-23 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1043625593 | Juliane Farias | Physical Therapist | 20 Bellingham Ave, Everett, MA 02149-1219 | 2014-06-24 |
| 1043642309 | Yi Xie | Physical Therapist | 7015 Morgan Rd, Everett, WA 98203-5029 | 2013-08-08 |
| 1366886335 | Patrick Lloyd Mckilligan | Physical Therapist | 3726 Broadway Ste 104, Everett, WA 98201-3787 | 2013-04-22 |
| Find all providers in EVERETT | ||||
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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.