Provider Demographics
NPI:1770521700
Name:PHYSIOTHERAPY ASSOCIATES
Entity type:Organization
Organization Name:PHYSIOTHERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BESS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-459-0260
Mailing Address - Street 1:9720 NE 120TH PL
Mailing Address - Street 2:SUITE 130
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-4283
Mailing Address - Country:US
Mailing Address - Phone:425-825-5902
Mailing Address - Fax:425-825-9703
Practice Address - Street 1:9720 NE 120TH PL
Practice Address - Street 2:SUITE 130
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-4283
Practice Address - Country:US
Practice Address - Phone:425-825-5902
Practice Address - Fax:425-825-9703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7103534Medicaid
WA34780OtherLABOR & INDUSTRIES
WA7103534Medicaid