Individual provider Active NPI

Cathy Ann Desmet, P.T.

  • Orthopedic Physical Therapist
  • Vashon, WA
National Provider Identifier
1013043868
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT00006310 Issued in WA
Practice address
15131 91St Ave SW
Vashon, WA 98070-3927
Phone
(206) 442-2088
Fax
(206) 567-5925
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT00006310 WA Primary

Addresses

Primary practice location

15131 91St Ave SW
Vashon, WA 98070-3927

Mailing address

15131 91St Ave SW
Vashon, WA 98070-3927
Phone (206) 442-2088

Other identifiers 1

IdentifierTypeStateIssuer
0193861OtherWALABOR AND INDUSTRIES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130807000470 WA Practitioner - Physical Therapist in Private Practice 9931279577 Practice locations: Vashon, WA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15131 91St Ave SW
Vashon, WA 98070-3927
Phone (206) 442-2088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013043868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15131 91ST AVE SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980703927",
            "telephone_number": "206-442-2088",
            "fax_number": "206-567-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15131 91ST AVE SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980703927",
            "telephone_number": "206-442-2088",
            "fax_number": "206-567-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMET",
        "first_name": "CATHY",
        "middle_name": "ANN",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00006310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0193861",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vashon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.