MEDICARE: PHYSICAL THERAPY WORKS, PS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	PT00005014	WA

General Provider Information

NPI Number	:	1649505355
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICAL THERAPY WORKS, PS

Provider Business Mailing Address
First Line	:	3333 WALLINGFORD AVE N
Second Line	:	SUITE C-3
City	:	SEATTLE
State	:	WA
Zip	:	98103-9001
Country	:	US
Telephone Number	:	206-322-0662
Fax Number	:	206-322-6654

Provider Business Practice Location Address
First Line	:	3333 WALLINGFORD AVE N
Second Line	:	SUITE C-3
City	:	SEATTLE
State	:	WA
Zip	:	98103-9001
Country	:	US
Telephone Number	:	206-322-0662
Fax Number	:	206-322-6654

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SARAH TODA MEEKER
Credential	:	PT
Telephone Number	:	206-322-0662

Provider Enumeration Date	:	10/14/2009
Last Update Date	:	01/03/2012

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