Healthcare Provider Details

I. General information

NPI: 1508972894
Provider Name (Legal Business Name): NORTHWEST THERAPY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 NE 97TH ST. STE B
SEATTLE WA
98115
US

IV. Provider business mailing address

320 NE 97TH ST. STE B
SEATTLE WA
98115
US

V. Phone/Fax

Practice location:
  • Phone: 206-525-1010
  • Fax: 206-523-1330
Mailing address:
  • Phone: 206-525-1010
  • Fax: 206-523-9101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number602227469
License Number StateWA

VIII. Authorized Official

Name: MRS. AZMINA KANJI
Title or Position: PRESIDENT
Credential:
Phone: 818-758-2673