Individual provider Active NPI

Ella Pomplun, DPT, PT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1184442360
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61594848 Issued in WA
Practice address
4501 Interlake Ave N Ste 8
Seattle, WA 98103-6700
Phone
(206) 905-8575
NPI assigned
Sep 27, 2024
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT61594848 WA Primary

Addresses

Primary practice location

4501 Interlake Ave N Ste 8
Seattle, WA 98103-6700

Mailing address

4219 S Othello St Apt 753
Seattle, WA 98118-3891
Phone (262) 323-1956

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260529000580 WA Practitioner - Physical Therapist in Private Practice 2163992280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerald City Physical Therapy SVCS LLCGroup PAC ID 0547442469, 20 clinicians

Practice addresses (Care Compare)

1455 NW Leary Way
Suite 150
Seattle, WA 98107-5140
Phone (206) 284-9088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT61594848WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Velocity Physiotherapy LLC CurrentSince Sep 29, 2024 Accepting new patients

Locations

4501 Interlake Ave N
Ste 8
Seattle, WA 98103
Phone (206) 905-8575

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1184442360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4219 S OTHELLO ST APT 753",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183891",
            "telephone_number": "262-323-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 INTERLAKE AVE N STE 8",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036700",
            "telephone_number": "206-905-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMPLUN",
        "first_name": "ELLA",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61594848",
            "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 Sep 27, 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.