Healthcare Provider Details

I. General information

NPI: 1285565358
Provider Name (Legal Business Name): PRISM PHYSICAL THERAPY AND PILATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3837 13TH AVE W STE 209
SEATTLE WA
98119-1359
US

IV. Provider business mailing address

3837 13TH AVE W STE 209
SEATTLE WA
98119-1359
US

V. Phone/Fax

Practice location:
  • Phone: 206-485-4422
  • Fax: 206-267-0593
Mailing address:
  • Phone: 206-485-4422
  • Fax: 206-267-0593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE A SCHULTZ
Title or Position: OWNER
Credential: DPT
Phone: 503-449-1588