Provider Demographics
NPI:1134576291
Name:ALPINE PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:ALPINE PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ELI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZYGMUNTOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:415-350-9505
Mailing Address - Street 1:3220 26TH AVE W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-2824
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3800 WOODLAND PARK AVE N
Practice Address - Street 2:FLOOR 1
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-7926
Practice Address - Country:US
Practice Address - Phone:415-350-9505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty