Active NPI
Tiyara Benny
- Physical Therapist
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61503619
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates, Inc. | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Current | 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.
-
- Physical Therapist
- Kirkland, WA
- NPI 1497211049
-
- Durable Medical Equipment & Medical Supplies
- Federal Way, WA
- NPI 1003942392
-
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
-
- Durable Medical Equipment & Medical Supplies
- Graham, WA
- NPI 1386776912
-
- Durable Medical Equipment & Medical Supplies
- Puyallup, WA
- NPI 1851423271
-
- Physical Therapist
- Auburn, WA
- NPI 1902808470
-
- Physical Therapy Clinic/Center
- Snoqualmie, WA
- NPI 1912642489
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
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.