Provider Demographics
NPI:1295139020
Name:ATLAS PHYSICAL THERAPY
Entity type:Organization
Organization Name:ATLAS PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:STENSBY
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:206-940-9121
Mailing Address - Street 1:2000 NE 16TH ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-2644
Mailing Address - Country:US
Mailing Address - Phone:206-940-9121
Mailing Address - Fax:
Practice Address - Street 1:14862 LAKE HILLS BLVD STE D-1
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-5821
Practice Address - Country:US
Practice Address - Phone:206-601-8055
Practice Address - Fax:425-649-0256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-22
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00008439261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy