Mr Jason P Godfrey, DPT | |
4915 25th Ave Ne Ste 104, Seattle, WA 98105 | |
(206) 315-7998 | |
(206) 316-2308 |
Full Name | Mr Jason P Godfrey |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 16 Years |
Location | 4915 25th Ave Ne Ste 104, Seattle, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386808889 | NPI | - | NPPES |
0392938 | Other | WA | WA DEPT OF LNI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 34756 (California) | Secondary |
225100000X | Physical Therapist | PT60844798 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Functional Health Consulting Llc | 1759560709 | 22 |
Provider Name | Functional Health Consulting Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871801522 PECOS PAC ID: 1759560709 Enrollment ID: O20110124000928 |
Mailing Address | Practice Location Address |
---|---|
Mr Jason P Godfrey, DPT 15 Sw Everett Mall Way Ste G, Everett, WA 98204-2715 Ph: (425) 355-5222 | Mr Jason P Godfrey, DPT 4915 25th Ave Ne Ste 104, Seattle, WA 98105 Ph: (206) 315-7998 |
Mrs. Carol Grant, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5311 Phinney Ave North, Norse Home, Seattle, WA 98103 Phone: 206-781-7436 Fax: 206-781-7414 | |
Julia J Visser, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Box 359920, Seattle, WA 98104 Phone: 206-744-1675 Fax: 206-744-1664 | |
Amelia V. Rivera, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-774-3300 | |
Lori L. Kirsten, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1200 12th Ave S, Seattle, WA 98144 Phone: 206-326-2400 | |
Nicole Siegel Bulow, PT, DPT, CFMT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4839 S Brandon St, Seattle, WA 98118 Phone: 415-264-0191 | |
Benjamin Tappen Kern, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1107 Ne 45th St Ste 100, Seattle, WA 98105 Phone: 206-545-7844 Fax: 206-545-7843 | |
Sean Michael Strosnider, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2611 Ne 125th St Ste 140, Seattle, WA 98125 Phone: 206-361-4745 |