PIONEER SPORTS AND PHYSICAL THERAPY (NPI# 1902018054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902018054 |
| Entity Type | Organization |
| Organization Name | PIONEER SPORTS AND PHYSICAL THERAPY |
| Practice Address |
506 Second Avenue Suite 100 Seattle WA 98104 |
| Practice Telephone | 2062649780 |
| Mailing Telephone | 2062649780 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID J LEFFMANN (OWNER) |
| Authorized Official Telephone | 2062649780 |
| Authorized Official Credential | MPT |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WASHINGTON LABOR & INDUST | 142436 | 01 |
| WA | AETNA PROVIDER NUMBER | 4614402 | 01 |
| WA | 7113897 | 05 | |
| WA | CRIME VICTIMS COMPENSATIO | 8935255 | 01 |
| WA | REGENCE BCBS NUMBER | 5268LE | 01 |
| Street Address |
506 SECOND AVENUE SUITE 100 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821511536 | King Health Supplies | Durable Medical Equipment & Medical Supplies | 506 Second Avenue, Suite 1400, Seattle, WA 98104 | 2017-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| 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 |
| 1740803246 | Bouma Orthosport, LLC | Clinic/Center | 4037 46th Ave Sw, Seattle, WA 98116-3725 | 2020-05-19 |
| 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 |
| 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.