Provider Demographics
NPI:1629400957
Name:FRIEDMAN, ANNA ROSE BYRNE (PT, DPT, OCS)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:ROSE BYRNE
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7202 33RD AVE NW STE 300
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-4707
Mailing Address - Country:US
Mailing Address - Phone:206-465-6836
Mailing Address - Fax:425-452-0704
Practice Address - Street 1:1000 DEXTER AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-3582
Practice Address - Country:US
Practice Address - Phone:425-450-9474
Practice Address - Fax:425-452-0704
Is Sole Proprietor?:No
Enumeration Date:2013-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT603491768225100000X
WAPT603417682251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2029983Medicaid
WAP01451141OtherRR MEDICARE PTAN
WA1629400957Medicaid
WA2029983Medicaid