Individual provider Active NPI

Melanie Erin Boehler, DPT

  • Physical Therapist
  • Issaquah, WA
National Provider Identifier
1124494729
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60576051 Issued in WA
Practice address
4550 Klahanie Dr SE
Issaquah, WA 98029-5812
Phone
(425) 391-2427
Fax
(425) 392-4098
NPI assigned
Aug 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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 PT60576051 WA Primary

Addresses

Primary practice location

4550 Klahanie Dr SE
Issaquah, WA 98029-5812

Mailing address

4550 Klahanie Dr SE
Issaquah, WA 98029-5812
Phone (425) 391-2427

Other names 1

  • Melanie Erin Williams Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150910002649 WA Practitioner - Physical Therapist in Private Practice 0244547057 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60576051WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 4 King County Washington CurrentSince Nov 1, 2025 Accepting new patients
Public Hospital District No 4, King County Wa Physical Therapist CurrentSince Nov 1, 2025 Accepting new patients
Public Hospital District No 4 King County Washington Past Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist PastSince Sep 2, 2021 Accepting new patients

Locations

9801 Frontier Ave SE
Snoqualmie, WA 98065
Phone (425) 831-2300

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": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1124494729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 KLAHANIE DR SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980295812",
            "telephone_number": "425-391-2427",
            "fax_number": "425-392-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 KLAHANIE DR SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980295812",
            "telephone_number": "425-391-2427",
            "fax_number": "425-392-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHLER",
        "first_name": "MELANIE",
        "middle_name": "ERIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60576051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "WILLIAMS",
            "middle_name": "ERIN",
            "credential": "DPR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.