BOUMA ORTHOSPORT, LLC (NPI# 1740803246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740803246 |
| Entity Type | Organization |
| Organization Name | BOUMA ORTHOSPORT, LLC |
| Practice Address |
4037 46th Ave Sw Seattle WA 98116-3725 |
| Practice Telephone | 2062002495 |
| Mailing Telephone | 2062002495 |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | MARK JEFFREY BOUMA (OWNER) |
| Authorized Official Telephone | 2062002495 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | BOUMA ORTHOSPORT, LLC | 4037 46th Ave Sw, Seattle, WA 98116-3725 |
| Street Address |
4037 46TH AVE SW |
| City | SEATTLE |
| State | WA |
| Zip Code | 98116-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992229702 | Franciscan City Urgent Care Services, Ps | Clinic/Center | 3900 Sw Alaska St, Seattle, WA 98116 | 2017-08-02 |
| 1538692280 | Stacey Devenney | Counselor | 3026 52nd Ave Sw, Seattle, WA 98116 | 2017-04-10 |
| 1336698786 | Andrew Creed Gray | Physical Therapist | 3727 California Ave. Sw, Suite 1-a, Seattle, WA 98116 | 2016-09-27 |
| 1295281038 | Jenny Monfore | Mechanotherapist | 6633 Sw Admiral Way, Seattle, WA 98116 | 2016-08-31 |
| 1043666175 | Gretchen Gerhardt | Counselor | 3272 California Ave Sw Ste 300, Seattle, WA 98116 | 2016-05-07 |
| 1609274307 | Lekea Sharon Sarah Itero | Counselor | 1116 Summit Avenue Therapeutic Health Services, Seattle, WA 98116 | 2014-12-11 |
| 1306275284 | Elizabeth Davis | Dentist | 14212 Ambaum Blvd. Sw, Suite 100, Burien, WA 98116 | 2013-11-01 |
| 1689912859 | Seattle Pain and Wellness Institute | Clinic/Center | 4701 41st Ave., Sw, Suite 120, Seattle, WA 98116 | 2013-01-23 |
| 1851637953 | Chrissandra Ann Snider | Massage Therapist | 3258 California Ave Sw Ste D, Seattle, WA 98116 | 2012-12-17 |
| 1528302908 | Samara K Hoag | Registered Nurse | 3429 - 45th Ave Sw, Madison Middle School, Seattle, WA 98116 | 2012-11-26 |
| Find all providers in zip 98116 | ||||
| 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 |
| 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 |
| 1689106411 | Bend & Stretch | Clinic/Center | 4250 8th Ave Nw, Suite 100, Seattle, WA 98107-4516 | 2017-03-30 |
| 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.