PROVAIL (NPI# 1871857946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871857946 |
| Entity Type | Organization |
| Organization Name | PROVAIL |
| Practice Address |
12550 Aurora Ave N Seattle WA 98133-8036 |
| Practice Telephone | 2063637303 |
| Mailing Telephone | 2063637303 |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |
| Authorized Official Name | MICHAEL HATZENBELER (CEO) |
| Authorized Official Telephone | 2068261044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
OT60281347 | WA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477760197 | Provail | Speech-Language Pathologist | 12550 Aurora Ave N, Seattle, WA 98133-8036 | 2007-05-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PROVAIL | 12550 Aurora Ave N, Seattle, WA 98133 |
| Washington State Corporations | PROVAIL ENTERPRISES | 12550 Aurora Ave N, Seattle, WA 98133-8036 |
| Street Address |
12550 AURORA AVE N |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133-8036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629013958 | Jennifer J Boyce | Occupational Therapist | 12550 Aurora Ave N, Seattle, WA 98133-8036 | 2006-06-19 |
| 1760908560 | Julia Ladner | Occupational Therapist | 12550 Aurora Ave N, Seattle, WA 98133-8036 | 2017-08-14 |
| 1881095370 | Adam Coe | Speech-Language Pathologist | 12550 Aurora Ave N, Seattle, WA 98133-8036 | 2014-09-15 |
| 1053676312 | Jennifer Anderson | Occupational Therapist | 12550 Aurora Ave N, Seattle, WA 98133-8036 | 2012-07-11 |
| 1962769067 | Francis Olson | Specialist | 12550 Aurora Ave N, Seattle, WA 98133-8036 | 2012-04-13 |
| 1104104678 | Amanda Beth Wydeveld | Speech-Language Pathologist | 12550 Aurora Ave N, Seattle, WA 98133-8036 | 2011-08-01 |
| 1912297722 | Lee Lowell Gibson | Occupational Therapy Assistant | 12550 Aurora Ave N, Seattle, WA 98133-8036 | 2011-04-13 |
| 1093952574 | Brenda Marie Chappell | Speech-Language Pathologist | 12550 Aurora Ave N, Seattle, WA 98133-8036 | 2009-01-20 |
| 1477760197 | Provail | Speech-Language Pathologist | 12550 Aurora Ave N, Seattle, WA 98133-8036 | 2007-05-16 |
| 1235257098 | Kelly Marie Kuehl | Speech-Language Pathologist | 12550 Aurora Ave N, Seattle, WA 98133-8036 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
| Find all providers in zip 98133 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563299 | Team Vocational Services | Clinic/Center | 5608 17th Ave Nw Ste 596, Seattle, WA 98107-5232 | 2020-06-17 |
| 1043769441 | Corrie L Adams | Clinic/Center | 1831 8th Ave Apt 602, Seattle, WA 98101-4411 | 2016-09-26 |
| 1912949223 | Physiotherapy Associates Inc | Clinic/Center | 7900 E Green Lake Dr N, Suite 204, Seattle, WA 98103-4819 | 2006-06-12 |
| 1952350688 | Pacific Rehabilitation & Sports Medicine Inc | Clinic/Center | 12500 Aurora Ave N, Ste C, Seattle, WA 98133-1518 | 2006-05-09 |
| 1821461989 | Claudia Hickey | Clinic/Center | 603 N 65th St, Seattle, WA 98103-5303 | 2015-11-10 |
| 1871975110 | The Athlete Experience | Clinic/Center | 2818 E Madison St, Seattle, WA 98112-4841 | 2015-06-23 |
| 1710384953 | Go Pt | Clinic/Center | 201 Yale Ave N, Seattle, WA 98109 | 2014-12-03 |
| 1538591359 | 12th Ave. Massage & Wellness | Clinic/Center | 6121 12th Ave Ne Unit C, Seattle, WA 98115-6703 | 2013-08-02 |
| 1770756090 | Balance Ot, Inc | Clinic/Center | 2821 Nw Market St Ste E, Seattle, WA 98107-5815 | 2008-04-08 |
| 1386830974 | Armonia Bodyworks | Clinic/Center | 6850 35th Ave Ne Ste 11, Seattle, WA 98115-7344 | 2007-09-18 |
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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.