Provider Demographics
NPI:1285657395
Name:PILKINGTON, JAMIE T (MSPT)
Entity Type:Individual
Prefix:MR
First Name:JAMIE
Middle Name:T
Last Name:PILKINGTON
Suffix:
Gender:M
Credentials:MSPT
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Mailing Address - Street 1:11400 SE 6TH ST
Mailing Address - Street 2:STE 105
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6419
Mailing Address - Country:US
Mailing Address - Phone:425-576-8180
Mailing Address - Fax:425-828-7840
Practice Address - Street 1:10510 NORTHUP WAY
Practice Address - Street 2:SUITE 140
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-7901
Practice Address - Country:US
Practice Address - Phone:425-576-8180
Practice Address - Fax:425-828-7840
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPT00008277225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist