Provider Demographics
NPI:1235335233
Name:GELINAS, JOAN AUSTIN (PT)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:AUSTIN
Last Name:GELINAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5044 38TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105
Mailing Address - Country:US
Mailing Address - Phone:206-528-5692
Mailing Address - Fax:206-528-0044
Practice Address - Street 1:5044 38TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105
Practice Address - Country:US
Practice Address - Phone:206-528-5692
Practice Address - Fax:206-528-0044
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00002479225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0005205731OtherAETNA
0071133OtherL AND I
GE0029OtherREGENCE
GE0029OtherREGENCE
S94108Medicare UPIN