Unknown Individual – Physical Therapist, NPI 1407955974

Unknown Individual is a healthcare provider. based in Shoreline, Washington. specializing in Physical Therapist. They hold a License No. PT00000735 (WA). The NPI Number for Unknown Individual is 1407955974

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1407955974
Phone
(206) 362-5255
Address
18021 15TH AVE. NE
Deactivation Date
27 December 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 15th Avenue Northeast, Paramount Park, Ridgecrest, Shoreline, King County, Washington, 98125, United States

    SUITE 201

    SHORELINE, WA 981553809

    Phone: (206) 362-5255

    Fax: (206) 362-5260

    Type: Mailing

  • 901, 8th Street, Anacortes, Skagit County, Washington, 98221, United States

    ANACORTES, WA 982214107

    Phone: (360) 588-1933

    Fax: (206) 588-1932

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98155)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1407955974 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Physical Therapist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Shoreline, Washington may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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