Individual provider Active NPI

Katie C Levinger, DPT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1174098990
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60869567 Issued in WA
Practice address
3290 NE 65TH St
Unit 101
Seattle, WA 98115
Phone
(206) 388-2549
Fax
(206) 829-4352
NPI assigned
Oct 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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 60869567 WA
Physical Therapist 225100000X PT60869567 WA Primary

Addresses

Primary practice location

3290 NE 65TH St
Unit 101
Seattle, WA 98115

Mailing address

8750 Greenwood Ave N
S-1
Seattle, WA 98103
Phone (206) 782-5789

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181219001811 WA Practitioner - Physical Therapist in Private Practice 2961747944 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60869567WAMDPhysical Therapist
PT60869567WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Physical Rehabilitation Group PLLC Physical Therapist CurrentSince Oct 30, 2018 Accepting new patients
Premier Physical Rehabilitation LLC Physical Therapist CurrentSince Oct 30, 2018 Accepting new patients
Greenwood Physical Therapy PLLC Physical Therapist PastSince Jan 17, 2022 Accepting new patients

Locations

26837 Maple Valley Black Diamond Rd SE
Ste 200
Maple Valley, WA 98038
Phone (425) 413-4425

17618 140th Ave NE
Woodinville, WA 98072
Phone (425) 402-9772

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": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1174098990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 GREENWOOD AVE N",
            "address_2": "S-1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98103",
            "telephone_number": "206-782-5789",
            "fax_number": "206-782-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 NE 65TH ST",
            "address_2": "UNIT 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98115",
            "telephone_number": "206-388-2549",
            "fax_number": "206-829-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINGER",
        "first_name": "KATIE",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60869567",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60869567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.