Provider Demographics
NPI:1366856429
Name:JOANI GELINAS PHYSICAL THERAPY PS INC
Entity Type:Organization
Organization Name:JOANI GELINAS PHYSICAL THERAPY PS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:AUSTIN
Authorized Official - Last Name:GELINAS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:206-528-5692
Mailing Address - Street 1:5044 38TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3023
Mailing Address - Country:US
Mailing Address - Phone:206-528-5699
Mailing Address - Fax:
Practice Address - Street 1:5044 38TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3023
Practice Address - Country:US
Practice Address - Phone:206-528-5699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00002479225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAS94108Medicare UPIN