Provider Demographics
NPI:1164686101
Name:CARE PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:CARE PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JONG
Authorized Official - Middle Name:OK
Authorized Official - Last Name:HWANG
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:425-742-5900
Mailing Address - Street 1:16911 HWY 99
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-3104
Mailing Address - Country:US
Mailing Address - Phone:425-742-5900
Mailing Address - Fax:425-742-5959
Practice Address - Street 1:16911 HWY 99
Practice Address - Street 2:SUITE 105
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-3104
Practice Address - Country:US
Practice Address - Phone:425-742-5900
Practice Address - Fax:425-742-5959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00003957305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7032378Medicaid
WA0000108202Medicare UPIN