Individual provider Active NPI

Clarissa Abadesco, DPT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1073226205
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
9725 3Rd Ave NE Ste 100
Seattle, WA 98115-2049
Phone
(206) 706-7500
NPI assigned
Jan 3, 2023
Last updated
Jan 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 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 Primary

Addresses

Primary practice location

9725 3Rd Ave NE Ste 100
Seattle, WA 98115-2049

Mailing address

PO Box 658
Oak Harbor, WA 98277-0658

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230124002996 WA Practitioner - Physical Therapist in Private Practice 5597136879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Functional Health Consulting LLCGroup PAC ID 1759560709, 36 clinicians
Movement Systems Physical Therapy PSGroup PAC ID 3577524974, 8 clinicians

Practice addresses (Care Compare)

4915 25TH Ave NE
Suite 104
Seattle, WA 98105-8667
Phone (206) 315-7998

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Systems Physical Therapy, P.S. Physical Therapist CurrentSince Jan 16, 2023 Accepting new patients

Locations

1100 Circle 75 Pkwy SE
Ste 1400
Atlanta, GA 30339
Phone (678) 403-3555

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

1200 Westlake Ave N
Ste 100
Seattle, WA 98109
Phone (206) 405-1864

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

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": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1073226205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 658",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982770658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 3RD AVE NE STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152049",
            "telephone_number": "206-706-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABADESCO",
        "first_name": "CLARISSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 3, 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.