Individual provider Active NPI

Kirah Boynton-Brown, DPT, PT

  • Orthopedic Physical Therapist
  • Vancouver, WA
National Provider Identifier
1063387041
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
70037305 Issued in WA
Practice address
16111 SE McGillivray Blvd Ste a
Vancouver, WA 98683-9033
Phone
(360) 253-4020
NPI assigned
Oct 8, 2025
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 70037305 WA Primary

Addresses

Primary practice location

16111 SE McGillivray Blvd Ste a
Vancouver, WA 98683-9033

Mailing address

14119 SE Bella Vista Cir
Vancouver, WA 98683-7744

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260119000854 WA Practitioner - Physical Therapist in Private Practice 5395222566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joint Ventures Therapeutics PCGroup PAC ID 7416969829, 5 clinicians

Practice addresses (Care Compare)

16111 SE McGillivray Blvd
Suite a
Vancouver, WA 98683-9033
Phone (360) 253-4020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70037305WAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Ventures Therapeutics PC Orthopedic CurrentSince Oct 23, 2025 Accepting new patients

Locations

16111 SE McGillivray Blvd
Ste A
Vancouver, WA 98683
Phone (360) 253-4020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1063387041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14119 SE BELLA VISTA CIR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986837744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16111 SE MCGILLIVRAY BLVD STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839033",
            "telephone_number": "360-253-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYNTON-BROWN",
        "first_name": "KIRAH",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "70037305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.