Nathaniel Siroma Meneses, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2017026965 Issued in MO

Practice address

22415 68TH Ave S
Kent, WA 98032-2444

Phone

(253) 395-1131

Fax

(253) 395-1171

NPI assigned

Aug 4, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1154846749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15411 4TH AVE SW APT 8",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662573",
            "telephone_number": "904-910-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22415 68TH AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980322444",
            "telephone_number": "253-395-1131",
            "fax_number": "253-395-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENESES",
        "first_name": "NATHANIEL",
        "middle_name": "SIROMA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MO",
            "license": "2017026965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Mendes, DPT
• Patricia Mendez Alferez, LPN
• Amy Mendez, MFT
• Barbara Colleen Mendez, MS SLP CCC
• Esmeralda Mendoza Castro
• Alemtsehay Mengestu
• Rijuna Menon, M.D.
• Mentovia Wellness Center LLC
• Abigail E Mercure, ARNP
• Samson Meresa

• Orthopedic Physical Therapist in Kent, WA
• Providers in Kent, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.