Eastside Sports Rehab

LBN: Esrc Pllc
Eastside Sports Rehab is an health care organization with primary practice located at 11400 Se 6Th St Ste 105 , Bellevue WA 98004-6419. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Ambulatory Health Care Facilities / Physical Therapy. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty. Esrc Pllc can be contacted via phone (425) 576-8180, or through Park, Nicole via phone (425) 576-8180.

Contact Information

Primary practice address
11400 Se 6Th St Ste 105 Bellevue WA 98004-6419
Phone: (425) 576-8180
Fax: (425) 746-2002
Website:
Map and Directions
Authorized official contact:
Name: Park, Nicole
Phone: (425) 576-8180

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1699796755
LBN Legal business name Esrc Pllc
DBA Doing business as Eastside Sports Rehab
Authorized official Park, Nicole
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Jun 18th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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