Individual provider Active NPI

Kaitlyn Elizabeth Lantz, DPT

  • Physical Therapist
  • Renton, WA
National Provider Identifier
1144778689
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60756736 Issued in WA
Practice address
17650 140TH Ave SE Ste B7
Renton, WA 98058-6814
Phone
(425) 430-0700
Fax
(425) 430-0710
NPI assigned
Sep 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.022517 IL
Physical Therapist 225100000X PT60756736 WA Primary

Addresses

Primary practice location

17650 140TH Ave SE Ste B7
Renton, WA 98058-6814

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other names 1

  • Kaitlyn Wilson Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170825000181 WA Practitioner - Physical Therapist in Private Practice 2264729185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Boston University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians

Practice addresses (Care Compare)

17650 140TH Ave SE
Suite B7
Renton, WA 98058-6814
Phone (425) 430-0700

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.022517ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jul 13, 2017 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jul 13, 2017 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist Current Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

720 12th St SE
Auburn, WA 98002
Phone (253) 735-3606

15600 NE 8th St
Ste E6
Bellevue, WA 98008
Phone (425) 214-7679

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

25248 Pacific Hwy S
Kent, WA 98032

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

7650 SE 27th St
Ste 112
Mercer Island, WA 98040
Phone (206) 230-8320

17650 140th Ave SE
Ste B7
Renton, WA 98058
Phone (425) 430-0700

4701 41st Ave SW
Ste 100
Seattle, WA 98116
Phone (206) 338-2070

2600 SW Barton St
Ste D3
Seattle, WA 98126
Phone (206) 573-5074

Organizations & group practices 3

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": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1144778689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17650 140TH AVE SE STE B7",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980586814",
            "telephone_number": "425-430-0700",
            "fax_number": "425-430-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTZ",
        "first_name": "KAITLYN",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.022517",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60756736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "WILSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.