| Javaman Ps | |
|
2075 Barkley Blvd, Ste 200, Bellingham, WA 98226-6696 | |
| (360) 733-4008 | |
| (360) 733-4064 |
| Full Name | Javaman Ps |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 2075 Barkley Blvd, Bellingham, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841255502 | NPI | - | NPPES |
| 7087836 | Medicaid | WA | |
| 0118842 | Other | WA | LABOR AND INDUSTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 601822178 (Washington) | Primary |
| Provider Name | Jamie C Denham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619018421 PECOS PAC ID: 8224192851 Enrollment ID: I20090127000355 |
| Provider Name | Anna Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215260112 PECOS PAC ID: 0042357501 Enrollment ID: I20091102000504 |
| Provider Name | Margo L Malone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255311130 PECOS PAC ID: 5193841153 Enrollment ID: I20100927001344 |
| Provider Name | Tracy L Norvell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629040050 PECOS PAC ID: 3971796178 Enrollment ID: I20101020000900 |
| Provider Name | Barbara E Karabin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053622662 PECOS PAC ID: 9830384395 Enrollment ID: I20101109001581 |
| Provider Name | Eric D Short-miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710959143 PECOS PAC ID: 6507770328 Enrollment ID: I20101116000430 |
| Provider Name | Rafael A Lara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730403973 PECOS PAC ID: 2062683360 Enrollment ID: I20110917000022 |
| Provider Name | Rachelle H Knutson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871868596 PECOS PAC ID: 6204099740 Enrollment ID: I20120521000697 |
| Provider Name | Jeanie Bernice Pflueger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851636393 PECOS PAC ID: 6800112004 Enrollment ID: I20150306000089 |
| Provider Name | Kenneth Graber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538641386 PECOS PAC ID: 0749532224 Enrollment ID: I20181010003606 |
| Provider Name | Natalie Schmutz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477129864 PECOS PAC ID: 5193124816 Enrollment ID: I20210601001324 |
| Provider Name | Tanner Zachry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598333866 PECOS PAC ID: 4284034893 Enrollment ID: I20210617002278 |
| Provider Name | Shawn Marie Sweeney |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588293047 PECOS PAC ID: 6901295716 Enrollment ID: I20211117001698 |
| Provider Name | Rachel Erickson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659896157 PECOS PAC ID: 8224416458 Enrollment ID: I20220531002437 |
| Provider Name | Brynne Dykes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700522448 PECOS PAC ID: 6103207709 Enrollment ID: I20220713003241 |
| Provider Name | Carrie Anne Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275256612 PECOS PAC ID: 3072980242 Enrollment ID: I20221031002183 |
| Provider Name | Christie Lee Erskine |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538874342 PECOS PAC ID: 6800268244 Enrollment ID: I20230210000764 |
| Provider Name | Julie Sult |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821663741 PECOS PAC ID: 3779985767 Enrollment ID: I20230525001918 |
| Provider Name | Edilma Sosa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558995514 PECOS PAC ID: 6507239183 Enrollment ID: I20230531001751 |
| Provider Name | Brandon Michael Wolff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336707785 PECOS PAC ID: 1456787159 Enrollment ID: I20230927002237 |
| Provider Name | Lee Haggerty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083239446 PECOS PAC ID: 2860816071 Enrollment ID: I20240215003092 |
| Provider Name | Amanda Stertzbach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467069872 PECOS PAC ID: 5193145985 Enrollment ID: I20240516002534 |
| Mailing Address | Practice Location Address |
|---|---|
| Javaman Ps 2075 Barkley Blvd, Ste 200, Bellingham, WA 98226-6696 Ph: (360) 733-4008 | Javaman Ps 2075 Barkley Blvd, Ste 200, Bellingham, WA 98226-6696 Ph: (360) 733-4008 |