Active NPI
Destini Patrice Payton, DPT
- Physical Therapist
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61401056
- Practice address
- 1707 3Rd St SE
Puyallup, WA 98372-4506 - Phone
- (253) 841-3041
- Fax
- (253) 841-3061
- NPI assigned
- Feb 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT61401056 | WA | Primary |
| Physical Therapist | 225100000X | CP050461T | GA |
Addresses
Primary practice location
1707 3Rd St SE
Puyallup, WA 98372-4506
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1650 Lyndon Farm CT
Suite 300
Louisville, KY 40223-4029
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP050461T | GA | MD | Physical Therapist |
| PT61401056 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Management Services, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900
19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991
3801 5th St SE
Ste 220
Puyallup, WA 98374
Phone (253) 445-4258
Organizations & group practices 1
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.
-
- Physical Therapist
- Bellevue, WA
- NPI 1710330378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1124724596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 LYNDON FARM CT STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 3RD ST SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983724506",
"telephone_number": "253-841-3041",
"fax_number": "253-841-3061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYTON",
"first_name": "DESTINI",
"middle_name": "PATRICE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-06",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61401056",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "CP050461T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.