Aurora Village Physical Therapy, Inc | |
1207 N 200th St, 103, Shoreline, WA 98133-3213 | |
(206) 542-1986 | |
(206) 542-1144 |
Full Name | Aurora Village Physical Therapy, Inc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 1207 N 200th St, Shoreline, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326111477 | NPI | - | NPPES |
0148810 | Other | WA | LABOR AND INDUSTRIES |
242772700 | Other | WA | ACS |
7061617 | Other | WA | SOCIAL & HEALTH SERVICES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00003503 (Washington) | Primary |
Provider Name | Brian K Clute |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578605374 PECOS PAC ID: 8628965431 Enrollment ID: I20120112000488 |
Mailing Address | Practice Location Address |
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Aurora Village Physical Therapy, Inc 1207 N 200th St, 103, Shoreline, WA 98133-3213 Ph: (206) 542-1986 | Aurora Village Physical Therapy, Inc 1207 N 200th St, 103, Shoreline, WA 98133-3213 Ph: (206) 542-1986 |
Zan Williams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19549 Burke Ave N, Shoreline, WA 98133 Phone: 206-310-4389 | |
Mark Woods, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19500 Ballinger Way Ne Ste 110, Shoreline, WA 98155 Phone: 206-333-4047 | |
Devin Langaker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19500 Ballinger Way Ne Ste 110, Shoreline, WA 98155 Phone: 206-333-4047 | |
Jamie Maloy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20109 Aurora Ave N Ste 105, Shoreline, WA 98133 Phone: 206-801-7546 | |
Dawn Dolobowsky, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1227 N 205th St, Shoreline, WA 98133 Phone: 206-546-2220 | |
Grace Fuk Wai Ma, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19235 15th Ave Nw, Shoreline, WA 98177 Phone: 206-546-2666 | |
Motus Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20109 Aurora Ave N Ste 105, Shoreline, WA 98133 Phone: 206-801-7546 Fax: 206-801-7547 |