Individual provider Active NPI

Meera Kothari

  • Physical Therapist
  • Redmond, WA
National Provider Identifier
1073205191
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61325614 Issued in WA
Practice address
16261 Redmond Way Ste 100
Redmond, WA 98052-3833
Phone
(425) 881-3001
NPI assigned
May 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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 PT61325614 WA Primary

Addresses

Primary practice location

16261 Redmond Way Ste 100
Redmond, WA 98052-3833

Mailing address

16261 Redmond Way Ste 100
Redmond, WA 98052-3833
Phone (425) 881-3001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250305000303 WA Practitioner - Physical Therapist in Private Practice 1658892898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redmond Physical Therapy IncGroup PAC ID 5496943516, 18 clinicians

Practice addresses (Care Compare)

16261 Redmond Way
Suite 100
Redmond, WA 98052-3833
Phone (425) 881-3001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT61325614WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Redmond Physical Therapy, Inc. Physical Therapist CurrentSince Feb 24, 2025 Accepting new patients

Locations

16261 Redmond Way
#100
Redmond, WA 98052
Phone (425) 881-3001

Organizations & group practices 1

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": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1073205191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16261 REDMOND WAY STE 100",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523833",
            "telephone_number": "425-881-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16261 REDMOND WAY STE 100",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523833",
            "telephone_number": "425-881-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHARI",
        "first_name": "MEERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61325614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.