Healthcare Provider Details

I. General information

NPI: 1285785717
Provider Name (Legal Business Name): LINDA OVERBAY PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 116TH AVE NE
BELLEVUE WA
98004-4623
US

IV. Provider business mailing address

10734 17TH AVE NE
SEATTLE WA
98125-6506
US

V. Phone/Fax

Practice location:
  • Phone: 206-240-0419
  • Fax:
Mailing address:
  • Phone: 206-240-0419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT00007863
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA01272900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: