MOUNTLAKE SPORTS & PHYSICAL THERAPY PS
NPI 1528331402
Physical Therapist in Everett, WA
NPI Status: Active since February 22, 2012
Contact Information
9505 19TH AVE SE
101
EVERETT, WA
ZIP 98208
Phone: (425) 379-8120
Fax: (425) 338-1789
- Organization
- Physical Therapist
- Accepts Insurance
About MOUNTLAKE SPORTS & PHYSICAL THERAPY PS
This page provides the complete NPI Profile along with additional information for Mountlake Sports & Physical Therapy Ps, a provider established in Everett, Washington operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1528331402 assigned on February 2012. The practitioner's primary taxonomy code is 225100000X with license number PT00003917 (WA). The provider is registered as an organization and their NPI record was last updated 13 years ago. Mountlake Sports & Physical Therapy Ps operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jamie Malijan (Clinical Manager)
- NPI
- 1528331402
- Provider Name
- MOUNTLAKE SPORTS & PHYSICAL THERAPY PS
- Entity Type
- Organization
- Location Address
- 9505 19TH AVE SE 101 EVERETT, WA 98208
- Location Phone
- (425) 379-8120
- Location Fax
- (425) 338-1789
- Mailing Address
- 9505 19TH AVE SE 101 EVERETT, WA 98208
- Mailing Phone
- (425) 379-8120
- Mailing Fax
- (425) 338-1789
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-22-2012
- Last Update Date
- 02-22-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- PT00003917
- License State
- WA
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | PT60178380 (WA) |
| 2 | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | MA00018299 (WA) |
| 3 | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | MA00015079 (WA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0151396 | OTHER (01) | WA | DEPARTMENT OF LABOR & INDUSTRIES |
| 7084650 | MEDICAID (05) | WA |
Reviews for MOUNTLAKE SPORTS & PHYSICAL THERAPY PS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 3 | 3 | 1 | 4 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 6 | 3 | 2 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 6 + 3 + 2 + 4 + 0 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1528331402 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1588718027 | EDWIN TRIA MALIJAN R.P.T. Individual | Physical Therapist | 9505 19TH AVE SE SUITE 101 EVERETT, WA 98208 (425) 379-8120 |
| 1245366863 | MARY H KUNZ LMP Individual | Massage Therapist | 9505 19TH AVE SE SUITE 101 EVERETT, WA 98208 (425) 379-8120 |
| 1144356999 | KARLA GERALYNN ST. CLAIR LMP Individual | Massage Therapist | 9505 19TH AVE SE SUITE 101 EVERETT, WA 98208 (425) 379-8120 |
| 1891823274 | ANGELIC SCHOENFELDER LMP Individual | Massage Therapist | 9505 19TH AVE SE SUITE 101 EVERETT, WA 98208 (425) 379-8120 |
| 1174741318 | DR. JAMES PAUL BURTON D.C. Individual | Chiropractor | 9505 19TH AVE SE SUITE 117 EVERETT, WA 98208 (425) 337-8800 |
| 1013056787 | DR. MADHURINA ROY M.D Individual | Internal Medicine | 9505 19TH AVE SE STE 100 EVERETT, WA 98208 (425) 225-6721 |
| 1346880457 | DENNIS MARVIN SYNNES Individual | Physician Assistant | 9505 19TH AVE SE EVERETT, WA 98208 (425) 353-9191 |
| 1972727402 | RINA ROY MDPC Organization | Internal Medicine | 9505 19TH AVE SE 100 EVERETT, WA 98208 (425) 353-9191 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528331402, enumerated in the NPI registry as an "organization" on February 22, 2012
The provider is located at 9505 19th Ave Se 101 Everett, Wa 98208 and the phone number is (425) 379-8120
This medical organization specializes in Physical Therapist with taxonomy code 225100000X
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 22, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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