ADVANCED THERAPY & SPORTS REHABILITATION,INC. (NPI# 1851661573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851661573 |
| Entity Type | Organization |
| Organization Name | ADVANCED THERAPY & SPORTS REHABILITATION,INC. |
| Practice Address |
12811 Se 38th St Bellevue WA 98006-1326 |
| Mailing Address |
2310 130th Ave Ne # B103 Bellevue WA 98005-1799 |
| Practice Telephone | 4257460752 |
| Practice Fax Number | 4257461587 |
| Mailing Telephone | 4258903989 |
| Mailing Fax Number | 4257461587 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2013-05-01 |
| Authorized Official Name | TAMARA L GOBER (OWNER) |
| Authorized Official Telephone | 4257460752 |
| Authorized Official Credential | RPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 3899 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | NPI GROUP # | 1851661573 | 01 |
| TYPE-1 NPI | 1497896005 | 01 |
| Street Address |
12811 SE 38TH ST |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639387921 | Tara Louis | Specialist | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2007-05-18 |
| 1831659424 | Cwc Group, Ps | Acupuncturist | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2019-03-21 |
| 1760835557 | Kyung-oh Suh | Chiropractor | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2016-07-18 |
| 1760888085 | Blue Spring Chiropractic | Chiropractor | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2014-11-13 |
| 1285057505 | Alexander Meadows | Chiropractor | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2014-01-22 |
| 1992934426 | Gober Chiropractic Center | Chiropractor | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2009-07-06 |
| 1497914170 | Vitality Chiropractic Center Inc | Clinic/Center | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2008-06-06 |
| 1023289618 | Jennifer Rebecca Jorgensen | Contractor | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2008-03-21 |
| 1508048604 | Patrick Flowin Kendrick | Contractor | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2007-11-29 |
| 1215127543 | Carissa Nichole Garrard | Specialist | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2007-08-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| 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 |
|---|---|---|---|---|
| 1336614619 | Boost Physical Therapy Pllc | Physical Therapist | 14021 Ne 8th St Ste A, Bellevue, WA 98007-4135 | 2018-10-12 |
| 1073019196 | Stuti Shah | Physical Therapist | 15840 Ne 15th St Apt D9, Bellevue, WA 98008-2768 | 2018-04-05 |
| 1891203386 | Caitlin O Ludington | Physical Therapist | 110 110th Ave Ne Ste 110, Bellevue, WA 98004-5840 | 2018-01-18 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1710429840 | Sean O'kelley | Physical Therapist | 110 110th Ave Ne, Suite 110, Bellevue, WA 98004-5828 | 2016-11-07 |
| 1053860171 | Ethan Hunke | Physical Therapist | 1103 Galvin Rd S # Areaa, Bellevue, NE 68005-3004 | 2016-09-30 |
| 1033662853 | Yin Yu | Physical Therapist | 1702 Harlan Dr, Suite A, Bellevue, NE 68005-3667 | 2016-07-28 |
| 1710330378 | Therapy Management Services, Pllc | Physical Therapist | 15600 Ne 8th St Ste A3, Bellevue, WA 98008-3917 | 2016-07-19 |
| 1972962512 | Mariyam Merchant | Physical Therapist | 12501 Bel Red Rd Ste 100, Bellevue, WA 98005-2509 | 2016-02-10 |
| 1538538392 | Angela Theresa Close | Physical Therapist | 15600 Ne 8th St Ste E6, Bellevue, WA 98008-3927 | 2015-09-22 |
| Find all providers in BELLEVUE | ||||
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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.