LYN MARY SORENSEN-WEIDENBACH (NPI# 1992996813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992996813 |
| Entity Type | Individual |
| Full Name | LYN MARY SORENSEN-WEIDENBACH |
| Practice Address |
2830 I St Ne Auburn WA 98002-2410 |
| Mailing Address |
4510 Kennedy Ave Se Auburn WA 98092-8701 |
| Practice Telephone | 2533331718 |
| Mailing Telephone | 2533338380 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
PT00006286 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251N0400X |
Physical Therapist Specialization: Neurology |
PT00006286 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2830 I ST NE |
| City | AUBURN |
| State | WA |
| Zip Code | 98002-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811061518 | North Auburn Health LLC | Skilled Nursing Facility | 2830 I St Ne, Auburn, WA 98002-2410 | 2006-11-17 |
| 1023569860 | Jolyn Castro | Physical Therapy Assistant | 2830 I St Ne, Auburn, WA 98002-2410 | 2016-10-17 |
| 1972976033 | Teri Nyblom X | Occupational Therapy Assistant | 2830 I St Ne, Auburn, WA 98002-2410 | 2015-11-10 |
| 1558758045 | Zachary Hamilton | Occupational Therapy Assistant | 2830 I St Ne, Auburn, WA 98002-2410 | 2015-04-22 |
| 1649667130 | Tenisha Chesney | Occupational Therapy Assistant | 2830 I St Ne, Auburn, WA 98002-2410 | 2015-04-22 |
| 1720474224 | Casey Gibson | Occupational Therapist | 2830 I St Ne, Auburn, WA 98002-2410 | 2015-04-10 |
| 1356739411 | Fmg I Street Northeast Washington LLC | Skilled Nursing Facility | 2830 I St Ne, Auburn, WA 98002-2410 | 2014-12-24 |
| 1497168769 | Silverio Natividad | Occupational Therapy Assistant | 2830 I St Ne, Auburn, WA 98002-2410 | 2014-06-04 |
| 1265861066 | Bhavini Patel | Physical Therapist | 2830 I St Ne, Auburn, WA 98002-2410 | 2013-11-02 |
| 1730518531 | Extendicare North Auburn Rehabilitation | Preferred Provider Organization | 2830 I St Ne, Auburn, WA 98002-2410 | 2013-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756451 | Natalia Marquez Avalos | Interpreter | 1001 37th St Se, Apt 2, Auburn, WA 98002 | 2020-09-24 |
| 1871065607 | Carrie Ann Sasser | Registered Nurse | 1005 37th Street Se, Auburn, WA 98002 | 2018-12-18 |
| 1730658881 | Nataliya Guga | Physical Therapy Assistant | 1323 17th St Se Apt A, Auburn, WA 98002 | 2018-11-19 |
| 1952876294 | Modeline Jules | Nurse Practitioner | 125 3rd St Ne Ste 403, Auburn, WA 98002 | 2018-10-12 |
| 1679055941 | Stephanie Storm Lariccia | Social Worker | 1000 Auburn Way S., Auburn, WA 98002 | 2018-09-04 |
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1265950554 | Allison Ortwein | Occupational Therapist | 2830 I St. Ne, Auburn, WA 98002 | 2017-09-06 |
| 1184171167 | Emily Faber | Counselor | 505 29th St, Auburn, WA 98002 | 2016-09-07 |
| 1255887907 | Elaine Priscilla Lucas | Counselor | 29th St Se Chartley House, 505, Auburn, WA 98002 | 2016-08-31 |
| 1871955823 | Melissa Mae Gustafson | Massage Therapist | 4220 A. St. Se, Suite 103, Auburn, WA 98002 | 2016-03-28 |
| Find all providers in zip 98002 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326209214 | Nicole Denise Desjardins | Physical Therapist | 440 Minot Ave, Auburn, ME 04210-4332 | 2008-06-23 |
| 1902066376 | Eric Smedberg | Physical Therapist | 11600 Education St, Auburn, CA 95602-2468 | 2008-06-10 |
| 1316146137 | Anne Marie Christine Mcmurtrey | Physical Therapist | 2830 I St Ne, Auburn, WA 98002-2410 | 2007-07-12 |
| 1063614386 | Lane L. Duger | Physical Therapist | 3 Saint Anthony St, Auburn, NY 13021-4525 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740724475 | Aaron Scheidies | Physical Therapist | 2121 N 113th St, Unit A, Seattle, WA 98133-8502 | 2016-12-15 |
| 1255780961 | Kenneth James Overman | Physical Therapist | 17518 123rd Ave Ne, Crown Hill - Seven Springs, Arlington, WA 98223-7973 | 2016-06-03 |
| 1992127229 | Marissa Reis | Physical Therapist | 1211 Sw 132nd Ln Apt 412, Burien, WA 98146-4009 | 2014-01-06 |
| 1801226444 | Tracy Ann Grimes | Physical Therapist | 7231 Highlands Dr Ne, Olympia, WA 98516-2134 | 2013-11-18 |
| 1417391186 | Heather Elaine Sheppard | Physical Therapist | 1010 South 336th St, Suite 210, Federal Way, WA 98003 | 2013-04-24 |
| 1225338874 | Bothell Pediatric and Hand Therapy | Physical Therapist | 18501 Bothell Way Ne, Bothell, WA 98011 | 2010-10-29 |
| 1164754818 | Mary Delap Sandstrom | Physical Therapist | 956 21st Ave E, Seattle, WA 98112-3511 | 2010-02-05 |
| 1871829879 | Keri Poffel | Physical Therapist | 1309 S I St, Port Angeles, WA 98363-6830 | 2009-10-26 |
| 1518165372 | Debra Marie Robert | Physical Therapist | 835 Madison Ave North, Bainbridge Island, WA 98110 | 2007-07-03 |
| 1467540039 | Sharon Annette Hall | Physical Therapist | 14204 S Andrus Rd, Cheney, WA 99004-9059 | 2006-10-10 |
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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.