Provider Demographics
NPI:1184773681
Name:HUMAN PERFORMANCE IN INDUSTRY INC
Entity type:Organization
Organization Name:HUMAN PERFORMANCE IN INDUSTRY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOYNIHAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:360-435-8989
Mailing Address - Street 1:19007 61ST AVENUE NE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-6300
Mailing Address - Country:US
Mailing Address - Phone:360-435-8989
Mailing Address - Fax:360-403-8347
Practice Address - Street 1:19007 61ST AVENUE NE
Practice Address - Street 2:SUITE 5
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-6300
Practice Address - Country:US
Practice Address - Phone:360-435-8989
Practice Address - Fax:360-403-8347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA225100000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA42365OtherDEPT LABOR & INDUSTRIES
WA7075583Medicaid
AB09675Medicare ID - Type Unspecified
X40417Medicare UPIN