Individual provider Active NPI

Taylor Tattan

  • Orthopedic Physical Therapist
  • Seattle, WA
National Provider Identifier
1114761921
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT61559543 Issued in WA
Practice address
5000 30TH Ave NE
Seattle, WA 98105-3156
Phone
(206) 466-1918
NPI assigned
Jun 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT61559543 WA Primary

Addresses

Primary practice location

5000 30TH Ave NE
Seattle, WA 98105-3156

Mailing address

1124 Columbia St
Seattle, WA 98104-2026
Phone (206) 466-1918

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121004464 WA Practitioner - Physical Therapist in Private Practice 8325573736 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Luna Care Physical Therapy LLCGroup PAC ID 7416283817, 161 clinicians

Practice addresses (Care Compare)

Bellevue, WA 98006
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT61559543WAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bespoke Treatments Seattle PT PLLC Orthopedic CurrentSince Sep 6, 2024 Accepting new patients
Vascular & Surgical Care Northwest, PLLC PastSince Sep 6, 2024 Accepting new patients

Locations

1124 Columbia St
Ste P100
Seattle, WA 98104
Phone (206) 466-1918

1124 Columbia St
Seattle, WA 98104
Phone (206) 215-4250

Organizations & group practices 4

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": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1114761921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 COLUMBIA ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042026",
            "telephone_number": "206-466-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 30TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053156",
            "telephone_number": "206-466-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATTAN",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT61559543",
            "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 Jun 25, 2024; 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.