MEDICARE: LOUISE GOLDMAN PT

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	2251G0304X	Geriatric Physical Therapist	00003052	WA

General Provider Information

NPI Number	:	1700132768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUISE GOLDMAN PT

Provider Business Mailing Address
First Line	:	4515 MARTIN LUTHER KING JR WAY S
Second Line	:	STE 100
City	:	SEATTLE
State	:	WA
Zip	:	98108-2182
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4515 MARTIN LUTHER KING JR WAY S
Second Line	:	STE 100
City	:	SEATTLE
State	:	WA
Zip	:	98108-2182
Country	:	US
Telephone Number	:	206-320-5325
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2012
Last Update Date	:	07/27/2012

Similar Medicare Providers

1881681518 — PROVIDENCE HEALTH & SERVICES - WASHINGTON
Practice Location Address:

4515 MARTIN LUTHER KING JR WAY S , SUITE 100
SEATTLE, WA
98108-2182

Practice Phone: 206-320-5325
Practice Fax: 206-760-6339

1245562172 — SUSAN BROADHURST OT
Practice Location Address:

4515 MARTIN LUTHER KING JR WAY S , SUITE 100
SEATTLE, WA
98108-2182

Practice Phone: 206-325-5325
Practice Fax: 206-325-5326

1952657918 — DOROTHEA HAYES MSW
Practice Location Address:

4515 MARTIN LUTHER KING JR WAY S , STE 100
SEATTLE, WA
98108-2182

Practice Phone: 206-320-5325
Practice Fax:

1477809192 — JOY ALICIA POPE OTR/L
Practice Location Address:

4515 MARTIN LUTHER KING JR WAY S
SEATTLE, WA
98108-2182

Practice Phone: 206-320-5325
Practice Fax:

1841546405 — MS. MYRA KIM FAUST OTR
Practice Location Address:

4515 MARTIN LUTHER KING JR WAY S
SEATTLE, WA
98108-2182

Practice Phone: 206-320-5325
Practice Fax:

1093062432 — MELANIE SNYDER CAVE M.S., R.D.
Practice Location Address:

4515 MARTIN LUTHER KING JR WAY S
SEATTLE, WA
98108-2182

Practice Phone: 206-320-5325
Practice Fax:

Directions to “ LOUISE GOLDMAN PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.