Active NPI
August Fenway Duvall, DTP
- Physical Therapist
- Seattle, WA
National Provider Identifier
1124941521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1815 N 45TH St Ste 202
Seattle, WA 98103-6856 - Phone
- (206) 752-6837
- Fax
- (206) 701-3398
- NPI assigned
- Aug 3, 2026
- Sex
- Male
- Sole proprietor
- No
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 | WA | Primary |
Addresses
Primary practice location
1815 N 45TH St Ste 202
Seattle, WA 98103-6856
Mailing address
12 Highridge LN
Sandwich, MA 02563-2222
Phone (774) 269-4909
Other names 1
- Gus Duvall
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1124941521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 HIGHRIDGE LN",
"city": "SANDWICH",
"state": "MA",
"postal_code": "025632222",
"telephone_number": "774-269-4909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 N 45TH ST STE 202",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981036856",
"telephone_number": "206-752-6837",
"fax_number": "206-701-3398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUVALL",
"first_name": "AUGUST",
"middle_name": "FENWAY",
"credential": "DTP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-03",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GUS",
"last_name": "DUVALL",
"credential": "PT, DPT",
"code": "5",
"type": "Other Name"
}
]
}
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 Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.