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Randy A Notebloom

Physical Therapist - Sports

904 7th Ave
Seattle , Washington 98104-1132

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Randy A Notebloom

Physical Therapist - Sports

904 7th Ave
Seattle , Washington 98104-1132

(206) 515-5811

Write a Review Save Call

Randy A Notebloom

Physical Therapist - Sports

904 7th Ave
Seattle , Washington 98104-1132

(206) 515-5811 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Physical Therapist - Sports

Languages spoken

  • English

Location

904 7th Ave Seattle , Washington 98104-1132

First Address

  • Randy A Notebloom
  • 1100 Olive Way Msc M4-Pa
  • Seattle, WA
  • Zip : 98101-1873
  • Phone : (206) 515-5811

Second Address

  • Randy A Notebloom
  • 904 7th Ave
  • Seattle, WA
  • Zip : 98104-1132
  • Phone : (206) 223-6487

Reviews

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FAQs


Where did Randy A Notebloom attend graduate school?

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Where did Randy A Notebloom do his residency?

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Where did Randy A Notebloom do his fellowship?

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Is Randy A Notebloom board certified?

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What type of doctor is Randy A Notebloom

Physical Therapist - Sports

In what state does Randy A Notebloom practice in?

Washington

Where is Randy A Notebloom ’s practice located?

904 7th Ave , Seattle, Washington, 98104-1132

What is Randy A Notebloom ’s gender?

Male

Is Randy A Notebloom a sole practitioner?

No

Is Randy A Notebloom accepting new patients?

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What languages does Randy A Notebloom speak?

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Does Randy A Notebloom accept insurance?

Yes, Randy A Notebloom accepts insurance

Does Randy A Notebloom offers telemedicine?

Randy A Notebloom has not indicated if he offers telemedicine

What is Randy A Notebloom ’s professional license number?

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What is Randy A Notebloom ’s NPI number?

1407993553

Does Randy A Notebloom have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2251S0007X Physical Therapist - Sports PT00003291 WA

National Provider Identifier

NPI 1407993553
Provider Name Randy A Notebloom
First Address Seattle, WA 98101-1873
Second Address Seattle, WA 98104-1132
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 30/01/2007
Last Update Date 09/04/2008

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
0039585 LABOR AND INDUSTRIES # (01) WA
8342677 (05) WA
NO5497 BLUE SHIELD # (01) WA
P00079877 RAILROAD MEDICARE (01) WA
Q12287 (02)
US1051973 AETNA SPECIALIST PIN (01) WA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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