Organization
ADVANCE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADFORD BENTLEY DPT (DIRECTOR)
(206) 444-6320
Entity
Organization
Contact information
Practice address
15623 1ST AVE S, STE C, BURIEN, WA 98148-1292
(206) 444-6320
(206) 444-6302
Mailing address
15623 1ST AVE S, STE C, BURIEN, WA 98148-1292
(206) 444-6320
(206) 444-6302
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007787
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0142606
DEPT OF L & I
WA
01
—
353866900
FEDERAL LABOR ID
WA
01
—
5411BE
REGENCE ID
WA
05
—
7104300
—
WA
01
—
8940084
CRIME VICTIMS ID
WA
01
—
G8865497
MEDICARE
WA
01
—
GAB18641
MEDICARE (OLD IND NUMBER)
WA
Enumeration date
03/23/2006
Last updated
03/22/2022
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