NPIMap

Organization Active NPI

Kaizen Physical Therapy, PLLC

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1083195820
Registry record updated Jan 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KAIZEN PHYSICAL THERAPY, PLLC
Practice address
5025 25TH Ave NE Ste 201
Seattle, WA 98105-4152
Phone
(206) 524-6702
NPI assigned
Aug 28, 2018
Last updated
Jan 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2024

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

Authorized official

Name
Dr. Colin Martin Sisco, DPT, OCSNPI 1033423280
Title
Owner, Physical Therapist
Phone
(206) 524-6702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

5025 25TH Ave NE Ste 201
Seattle, WA 98105-4152

Mailing address

5808 123Rd PL SE
Snohomish, WA 98296-8900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181205001772 WA Part B Supplier - Clinic/Group Practice 2062756851 Receives reassigned benefits from 11 practitioners
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705708800000",
    "number": "1083195820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 123RD PL SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982968900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 25TH AVE NE STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054152",
            "telephone_number": "206-524-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIZEN PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A",
        "authorized_official_last_name": "SISCO",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "206-524-6702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, OCS"
    },
    "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 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.