Nattika Detskultorn

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Practice address

1301 4TH Ave NW Ste 100
Issaquah, WA 98027-9371

Phone

(425) 392-7989

NPI assigned

Sep 14, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• RWW Pediatric Rehab Services LLC

  • Clinic/Center
  • Issaquah, WA
  • NPI 1073001913
  NPD
• Seattle Children'S Hospital

  • Specialist
  • Seattle, WA
  • NPI 1003319500
  NPD
• Seattle Children'S Hospital

  • Psychiatric Hospital Unit
  • Seattle, WA
  • NPI 1477622595
  NPD
• Seattle Childrens Hospital

  • Clinic Pharmacy
  • Seattle, WA
  • NPI 1245342153
  NPD
• Seattle Children'S Hospital

  • Home Infusion Agency
  • Bothell, WA
  • NPI 1245383348
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1003421280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6604 S BANGOR ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981782525",
            "telephone_number": "503-432-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 4TH AVE NW STE 100",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980279371",
            "telephone_number": "425-392-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETSKULTORN",
        "first_name": "NATTIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margene Dengler
• Heather A Denniston, DC
• Dental Professionals of Washington Quirt Mongrain Gibree PC
• Tammy Deroche, DPT
• McKenzie Desjarlais, M.S. CF-SLP
• Lechic Devereaux Franco
• Chaitra Elise Devereaux, PSYD
• Jennifer Michelle Devine, MD
• Avneet Kaur Dhaliwal, DMD
• Hardeep Dhaliwal, MD, DMD

• Pediatric Physical Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Pediatric Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.