Active NPI
Kathleen G Jech, PT
- Physical Therapist
- Lacey, WA
National Provider Identifier
1093752669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00000856
- Practice address
- 4770 Yelm Hwy SE
Lacey, WA 98503-4986 - Phone
- (360) 491-6074
- Fax
- (360) 491-6192
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PT00000856 | WA | Primary |
Addresses
Primary practice location
4770 Yelm Hwy SE
Lacey, WA 98503-4986
Mailing address
3243 104TH Ave SW
Olympia, WA 98512-9103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7103492 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00000856 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1093752669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3243 104TH AVE SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985129103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4770 YELM HWY SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985034986",
"telephone_number": "360-491-6074",
"fax_number": "360-491-6192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JECH",
"first_name": "KATHLEEN",
"middle_name": "G",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00000856",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7103492",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.