Provider Demographics
NPI:1073386603
Name:RIGHT REHAB, LLC
Entity Type:Organization
Organization Name:RIGHT REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VERONIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:POLYANSKIY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, MS
Authorized Official - Phone:425-999-5023
Mailing Address - Street 1:24219 18TH PL W
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-9283
Mailing Address - Country:US
Mailing Address - Phone:425-999-5023
Mailing Address - Fax:
Practice Address - Street 1:11019 NE 135TH PL
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-5314
Practice Address - Country:US
Practice Address - Phone:425-825-0898
Practice Address - Fax:425-559-7787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAPT60317318OtherWASHINGTON STATE DEPARTMENT OF HEALTH
1720323405OtherNPPES