1184773681 NPI number — HUMAN PERFORMANCE IN INDUSTRY INC

Table of content: (NPI 1184773681)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184773681 NPI number — HUMAN PERFORMANCE IN INDUSTRY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HUMAN PERFORMANCE IN INDUSTRY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HPI
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184773681
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19007 61ST AVENUE NE
Provider Second Line Business Mailing Address:
SUITE 5
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98223-6300
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-435-8989
Provider Business Mailing Address Fax Number:
360-403-8347

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19007 61ST AVENUE NE
Provider Second Line Business Practice Location Address:
SUITE 5
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98223-6300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-435-8989
Provider Business Practice Location Address Fax Number:
360-403-8347
Provider Enumeration Date:
01/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MOYNIHAN
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER PRESIDENT PHYSICAL THERAPIST
Authorized Official Telephone Number:
360-435-8989

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 225X00000X , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 42365 . This is a "DEPT LABOR & INDUSTRIES" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 7075583 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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