Individual provider Active NPI

Wendy Barnett Peters, DPT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1114484532
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60889903 Issued in WA
Practice address
13242 Aurora Ave N Ste 103
Seattle, WA 98133-7026
Phone
(206) 420-0221
Fax
(206) 420-0227
NPI assigned
Feb 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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 PT60889903 WA Primary

Addresses

Primary practice location

13242 Aurora Ave N Ste 103
Seattle, WA 98133-7026

Mailing address

4220 132ND St SE Ste 202
Mill Creek, WA 98012-8999
Phone (425) 316-8046

Other practice location 1

4220 132nd St SE Ste 202
Mill Creek, WA 98012-8999
Phone (425) 316-8046

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

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1114484532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 132ND ST SE STE 202",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980128999",
            "telephone_number": "425-316-8046",
            "fax_number": "425-341-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13242 AURORA AVE N STE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981337026",
            "telephone_number": "206-420-0221",
            "fax_number": "206-420-0227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4220 132nd St SE Ste 202",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WA",
            "postal_code": "980128999",
            "country_code": "US",
            "telephone_number": "425-316-8046",
            "fax_number": "425-341-9034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "WENDY",
        "middle_name": "BARNETT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60889903",
            "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 Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.