Active NPI
Cathy Ann Desmet, P.T.
- Orthopedic Physical Therapist
- Vashon, WA
National Provider Identifier
1013043868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT00006310
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0193861 | Other | WA | LABOR AND INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.