Individual provider Active NPI

Bethanie Bayha, PT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1053365569
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00009698 Issued in WA
Practice address
9725 3Rd Ave NE
Suite 100
Seattle, WA 98115-2060
Phone
(206) 706-7500
Fax
(206) 706-7890
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26491 CA
Physical Therapist 225100000X PT00009698 WA Primary

Addresses

Primary practice location

9725 3Rd Ave NE
Suite 100
Seattle, WA 98115-2060

Mailing address

9725 3Rd Ave NE
Suite 100
Seattle, WA 98115-2060
Phone (206) 706-7500

Other identifiers 2

IdentifierTypeStateIssuer
PT26491OtherCAPT LICENCE
1053365569MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100416000310 WA Practitioner - Physical Therapist in Private Practice 6608804307 Reassigns benefits to 1 organization
I20240228003918 OR Practitioner - Physical Therapist in Private Practice 6608804307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Movement Systems Physical Therapy PSGroup PAC ID 3577524974, 8 clinicians

Practice addresses (Care Compare)

9725 3Rd Ave NE
Suite 100
Seattle, WA 98115-2049
Phone (206) 706-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26491CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Systems Physical Therapy, P.S. Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Stride Strong Physical Therapy LLC Physical Therapist CurrentSince Jan 29, 2024 Accepting new patients
Adient Physical Therapy, Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

3180 SW Cedar Hills Blvd
Ste 115
Beaverton, OR 97005
Phone (503) 798-9500

4815 NE Fremont St
Portland, OR 97213
Phone (971) 361-8738

8435 SE 68th St
Ste 100
Mercer Island, WA 98040
Phone (206) 405-1864

9725 3rd Ave NE
Ste 100
Seattle, WA 98115
Phone (206) 363-6184

Organizations & group practices 4

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1053365569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 3RD AVE NE",
            "address_2": "SUITE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152060",
            "telephone_number": "206-706-7500",
            "fax_number": "206-706-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 3RD AVE NE",
            "address_2": "SUITE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152060",
            "telephone_number": "206-706-7500",
            "fax_number": "206-706-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYHA",
        "first_name": "BETHANIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "26491",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENCE",
            "identifier": "PT26491",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053365569",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 24, 2015; 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.