PHYSICAL MEDICINE NORTHWEST NPI 1932652823

NPI Information

NPI: 1932652823
Provider Name: PHYSICAL MEDICINE NORTHWEST
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
549 MAIN ST
EDMONDS, WA
ZIP 98020
Phone: (425) 967-6974
Get Directions

PHYSICAL MEDICINE NORTHWEST is a rehabilitation clinic center in Edmonds, WA. PHYSICAL MEDICINE NORTHWEST NPI is 1932652823. The provider is registered as an organization entity type.

The provider's business location address is:

549 MAIN ST
EDMONDS, WA
ZIP 98020-149
Phone: (425) 967-6974
Fax: (425) 967-5480

The provider's authorized official is Jeffery E Fitzthum .
The authorized official title is Owner/provider and has the following contact phone number (425) 967-6974.

The enumeration date for this NPI number is 7/27/2016 and was last updated on 7/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation	MD 00038676	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F61171	MEDICARE UPIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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