Organization
HIGHLINE PHYSICAL THERAPY GROUP
Active
Other names
Highline Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG J KOPET PT (DIRECTOR)
(206) 242-5186
Entity
Organization
Contact information
Practice address
16259 SYLVESTER RD SW, SUITE 102, BURIEN, WA 98166-3049
(206) 242-5186
(206) 241-8467
Mailing address
181 S 333RD ST, SUITE 250, FEDERAL WAY, WA 98003-7363
(253) 874-2998
(253) 874-3307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192343300
USDL
WA
01
—
54497
INDUSTRIAL INJURY INS
WA
05
—
7030562
—
WA
05
—
7033368
—
WA
05
—
7044852
—
WA
05
—
7081748
—
WA
05
—
7105653
—
WA
05
—
7683030
—
WA
01
—
8581304
AETNA GROUP NUMBER
WA
01
—
HI2807
REGENCE GROUP NUMBER
WA
Enumeration date
12/13/2006
Last updated
10/10/2012
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