Individual provider Active NPI

Tiyara Benny

  • Physical Therapist
  • Kirkland, WA
National Provider Identifier
1063288116
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61503619 Issued in WA
Practice address
13128 Totem Lake Blvd NE Ste 204
Kirkland, WA 98034-2953
Phone
(425) 820-8474
NPI assigned
Nov 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT61503619 WA Primary

Addresses

Primary practice location

13128 Totem Lake Blvd NE Ste 204
Kirkland, WA 98034-2953

Mailing address

1482 Great Shoals Dr
Lawrenceville, GA 30045-7088
Phone (404) 709-1225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213002234 WA Practitioner - Physical Therapist in Private Practice 2668815028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Physical Therapy LLC 285 clinicians

Practice addresses (Care Compare)

11620 97TH LN NE
Kirkland, WA 98034-4269
Phone (425) 820-0869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates, Inc. CurrentSince Jan 2, 2024 Accepting new patients
Physiotherapy Associates Inc CurrentSince Jan 2, 2024 Accepting new patients
Physiotherapy Associates, Inc. Physical Therapist Current Accepting new patients

Locations

13128 Totem Lake Blvd NE
Ste 204
Kirkland, WA 98034
Phone (425) 820-8474

463 Tremont St W
Ste 100
Port Orchard, WA 98366
Phone (360) 874-0745

23515 NE Novelty Hill Rd
Ste B213
Redmond, WA 98053
Phone (425) 868-5260

Organizations & group practices 8

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": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1063288116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1482 GREAT SHOALS DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457088",
            "telephone_number": "404-709-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13128 TOTEM LAKE BLVD NE STE 204",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342953",
            "telephone_number": "425-820-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNY",
        "first_name": "TIYARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61503619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; 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.