Carissa Renee Kono, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61325380 Issued in WA

Practice address

21601 76TH Ave W
Edmonds, WA 98026-7507

Phone

(425) 640-4145

NPI assigned

Aug 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: carissa.kono@swedish.org

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1023745270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 SEA VISTA PL",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980204653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21601 76TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267507",
            "telephone_number": "425-640-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONO",
        "first_name": "CARISSA",
        "middle_name": "RENEE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61325380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY CREDENTIAL NUMBER",
            "identifier": "PT61325380",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Carissa.Kono@swedish.org",
            "affiliation": "N",
            "address_1": "21601 76th Ave W",
            "city": "Edmonds",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980267507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lloyd Frank Koch, D.C.
• Steven Koh, MD
• Denise Kohler, LICSW
• Andrew Kokesh, MSN, ARNP, PMHNP-BC
• Jennifer Michelle Kolar, PT, DPT
• Mariama Bandeh Koons
• Beth Ann Kopyar, PHD CCCA
• Jenna Kay Koschmeder
• Karen G Kosik, MA, LMHC
• Mikaela Kozminski

• Physical Therapist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.