Keith Patrick Schlecht, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60554006 Issued in WA

Practice address

12121 Harbour Reach Dr Ste 100
Mukilteo, WA 98275-5314

Phone

(425) 493-8313

NPI assigned

Jun 23, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1205218484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 HARBOUR REACH DR STE 100",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755314",
            "telephone_number": "425-493-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 HARBOUR REACH DR STE 100",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755314",
            "telephone_number": "425-493-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLECHT",
        "first_name": "KEITH",
        "middle_name": "PATRICK",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60554006",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A160180040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Sams
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• Nicholas Schade, M.A.
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• Seaside Mental Health and Psychiatric Services, PLLC
• Serene Lake Massage
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• Physical Therapist in Mukilteo, WA
• Providers in Mukilteo, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.