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General NPI Number Information
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NPI Number | 1508124173
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Entity Type | Organization
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Legal Business Name | CONCIERGE PHYSICAL THERAPISTS LLC
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Dates
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Enumeration Date | 05/02/2012
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 11200 SE 6TH ST FITNESS CENTER
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City | BELLEVUE
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State | WA
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Zip | 98004
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Country | US
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Telephone | 703-302-0951
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Fax |
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Provider Business Mailing Address
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Address Line | 1030 15TH ST NW B1 #246
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City | WASHINGTON
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State | DC
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Zip | 20005
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Country | US
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Telephone | 703-302-0951
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRYAN S WILLIAMS
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Credential | DPT
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Telephone | 703-302-0951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 879810
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License Number State | DC
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