Audrey Evalyn Kirmis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60228683 Issued in WA

Practice address

12806 Bothell Everett Hwy
Everett, WA 98208-6692

Phone

(425) 338-3327

Fax

(425) 357-1778

NPI assigned

Nov 15, 2011

Sex

Female

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

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1164709309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SULLIVAN TRAIL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180407958",
            "telephone_number": "800-944-9782",
            "fax_number": "610-438-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12806 BOTHELL EVERETT HWY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086692",
            "telephone_number": "425-338-3327",
            "fax_number": "425-357-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRMIS",
        "first_name": "AUDREY",
        "middle_name": "EVALYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60228683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Kiragu
• Brook Natasha Kirk
• Elkan S Kirkling
• Greg Matthew Kirkpatrick
• Lesha Kirkwood, B.S.
• Catherine C Kirscht, M.A.
• Jadyn Kirton
• Lillian Kirungi
• Sara Kish
• Daniela Celeste Kissell, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.