Anne E Kertson, PT, DPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00009462 Issued in WA

Practice address

37624 SE Fury St
C201
Snoqualmie, WA 98065-9680

Phone

(425) 292-0223

Fax

(425) 292-9225

NPI assigned

Mar 13, 2007

Last updated

Feb 7, 2013By the provider in NPPES

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

State licenses

Practice roles

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.

• Balance Physical Therapy Inc, P.S.

  • Physical Therapist
  • Issaquah, WA
  • NPI 1710197090
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1184757932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37624 SE FURY ST",
            "address_2": "C201",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659680",
            "telephone_number": "425-292-0223",
            "fax_number": "425-292-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37624 SE FURY ST",
            "address_2": "C201",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659680",
            "telephone_number": "425-292-0223",
            "fax_number": "425-292-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERTSON",
        "first_name": "ANNE",
        "middle_name": "E",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Jones
• Tomoko Jones, COTA
• Jennifer L Kannberg Nybo, O.D.
• Dima Karim
• Karen Grace Kenney, LMT
• Calvin Hyun Kim, DDS
• David Kim, MD
• Adriana Kimpton
• Michael R Komanetz, MSN ARNP
• James Atticus Koontz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.