Lake Forest Park Physical Therapy, Pllc

LBN: Lake Forest Park Physical Therapy, Pllc
Lake Forest Park Physical Therapy, Pllc is an health care organization with primary practice located at 20011 Ballinger Way Ne Ste C100, Shoreline WA 98155-1286. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Lake Forest Park Physical Therapy, Pllc can be contacted via phone (206) 367-6069, or through Whitehead, Robyn Namiko via phone (206) 979-8248.

Contact Information

Primary practice address
20011 Ballinger Way Ne Ste C100 Shoreline WA 98155-1286
Fax: (206) 367-6319
Website:
Authorized official contact:
Name: Whitehead, Robyn Namiko LPTA

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PT00002011 Washington

Profile Details

NPI number 1588806848
LBN Legal business name Lake Forest Park Physical Therapy, Pllc
DBA Doing business as
Authorized official Whitehead, Robyn Namiko LPTA
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2009
Last updated Apr 20th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588806848 NPPES
Washington MEDICAID 8371353

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