Active NPI
Amie Huynh
- Physical Therapist
- Seattle, WA
National Provider Identifier
1013687334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61223110
- Practice address
- 5620 Rainier Ave S Ste 102
Seattle, WA 98118-2498 - Phone
- (206) 535-8061
- NPI assigned
- Sep 17, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT61223110 | WA | Primary |
Addresses
Primary practice location
5620 Rainier Ave S Ste 102
Seattle, WA 98118-2498
Mailing address
5620 Rainier Ave S Ste 102
Seattle, WA 98118-2498
Phone (206) 535-8061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT61223110 | Medicaid | WA |
Other names 1
- Amie Huynh
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | a.huynh@renew-physicaltherapy.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11400 SE 6TH St
Suite 105
Bellevue, WA 98004-6419
Phone (425) 576-8180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esrc PLLC | Physical Therapist | Current | Accepting new patients |
Locations
11400 SE 6th St
Ste 105
Bellevue, WA 98004
Phone (425) 576-8180
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1013687334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5620 RAINIER AVE S STE 102",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981182498",
"telephone_number": "206-535-8061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5620 RAINIER AVE S STE 102",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981182498",
"telephone_number": "206-535-8061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "AMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-17",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61223110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT61223110",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "a.huynh@renew-physicaltherapy.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5620 Rainier Ave S Ste 102",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981182498",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMIE",
"last_name": "HUYNH",
"credential": "DPT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.