DIVERSIFIED MOVEMENT THERAPY MEDITOUCH CLINIC – NPI #1477068641
Clinic/Center

DIVERSIFIED MOVEMENT THERAPY MEDITOUCH CLINIC is an AHC clinic located in BELLEVUE, WA. NPPES has assigned the NPI number 1477068641 to DIVERSIFIED MOVEMENT THERAPY MEDITOUCH CLINIC on December 08, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DIVERSIFIED MOVEMENT THERAPY MEDITOUCH CLINIC” is a dba name, the actual legal business name for this organization is DIVERSIFIED PAIN & MOVEMENT THERAPY. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 8 years ago on Sep 06, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIVERSIFIED MOVEMENT THERAPY MEDITOUCH CLINIC below.

NPI Profile for
DIVERSIFIED PAIN & MOVEMENT THERAPY

NPI Number
1477068641
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIVERSIFIED PAIN & MOVEMENT THERAPY
Doing Business As (dba): DIVERSIFIED MOVEMENT THERAPY MEDITOUCH CLINIC
Primary location
875 140TH AVE NE STE 103
BELLEVUE, WA 98005
Phone: (425) 531-9886 Fax: (253) 345-5129
2 Other location(s):
15650 NE 24th St Ste C3
Bellevue, WA 98008-2460
Phone: (208) 251-1747
Fax: (425) 947-9841
634 7th Ave Bldg 2
Kirkland, WA 98033-5665
Phone: (208) 251-1747
Fax: (425) 947-9841
Mailing address
Same as primary location
Organization Subpart
Yes - DIVERSIFIED MOVEMENT THERAPY MEDITOUCH CLINIC is subpart of another organization.
Authorized Official
JUDITH ROSEVEAR
OWNER
Phone: (425) 531-9886
Updated
Identifiers

Identifiers for DIVERSIFIED MOVEMENT THERAPY MEDITOUCH CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWA2098601
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.