STRAIT ORTHOPEDIC SPECIALISTS PS NPI 1376716597

NPI Information

NPI: 1376716597
Provider Name: STRAIT ORTHOPEDIC SPECIALISTS, PS

Other Name: MCGOVERN THERAPY SPECIALISTS

Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
520 N 5TH AVE
SEQUIM, WA
ZIP 98382
Phone: (360) 417-8630
Get Directions

STRAIT ORTHOPEDIC SPECIALISTS, PS is a medical physician assistant in Sequim, WA. STRAIT ORTHOPEDIC SPECIALISTS, PS NPI is 1376716597. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Mcgovern Therapy Specialists.

The provider's business location address is:

520 N 5TH AVE
SEQUIM, WA
ZIP 98382-079
Phone: (360) 417-8630
Fax: (360) 417-8635

The provider's authorized official is Regina May Mcgovern .
The authorized official title is President and has the following contact phone number (360) 417-8630.

The enumeration date for this NPI number is 4/9/2008 and was last updated on 4/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207XS0114X	Orthopaedic Surgery	Adult Reconstructive Orthopaedic Surgery	MD00038097	WASHINGTON	No
2	225X00000X	Occupational Therapist		OT00003652	WASHINGTON	No
3	363AM0700X	Physician Assistant	Medical	PA10005046	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	147288	OTHER	WASHINGTON	DEPT. OF LABOR & INDUSTRI
2	7105810	MEDICAID	WASHINGTON
3	CH7730	OTHER	WASHINGTON	RAILROAD MEDICARE
4	AB21306	MEDICARE PIN	WASHINGTON
5	7682677	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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