Provider Demographics
NPI:1639222680
Name:PT PRO INC.
Entity Type:Organization
Organization Name:PT PRO INC.
Other - Org Name:PT PRO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:MADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:425-497-8180
Mailing Address - Street 1:2495 140TH AVE NE
Mailing Address - Street 2:SUITE D210
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005
Mailing Address - Country:US
Mailing Address - Phone:425-497-8180
Mailing Address - Fax:425-497-8358
Practice Address - Street 1:2495 140TH AVE NE
Practice Address - Street 2:SUITE D210
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005
Practice Address - Country:US
Practice Address - Phone:425-497-8180
Practice Address - Fax:425-497-8358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-20
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy