Paul De Beijl, PT, L.AC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00005321 Issued in WA

Practice address

720 Olive Way Ste 900
Seattle, WA 98101-1840

Phone

(206) 623-2220

Fax

(206) 623-2228

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Physical Therapy PCGroup PAC ID 0840287249, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Core Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Seattle, WA
  • NPI 1356411011

  Acupuncturist

  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1154466043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 OLIVE WAY STE 900",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011840",
            "telephone_number": "206-623-2220",
            "fax_number": "206-623-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 OLIVE WAY STE 900",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011840",
            "telephone_number": "206-623-2220",
            "fax_number": "206-623-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE BEIJL",
        "first_name": "PAUL",
        "credential": "PT, L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002074",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL L&I",
            "identifier": "105839",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1356411011",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICAID",
            "identifier": "8332777",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL UPIN",
            "identifier": "G8801835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "7101066",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP L&I NUMBER",
            "identifier": "144285",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anneth Cruz Dayrit, PHARMACY TECHNICIAN
• Jason Daza, R.PH
• Merrick Dazzo
• DBT-Iop at Ebtcs, PLLC
• Monica E. De Baca, M.D.
• Ian Harm De Boer, M.D.
• Iris Camille Canicula De Castro, M.D.
• Romeo Angelo De Claro, MD
• Victor De Cos, MD
• Claire De Crescenzo, MD

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

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