Active NPI
Jennifer C Wallerich, DPT
- Physical Therapist
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00010218
- Practice address
- 925 8TH Ave N
Seattle, WA 98109-6304 - Phone
- (206) 631-2818
- Fax
- (206) 631-2819
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00010218 | WA | Primary |
Addresses
Primary practice location
925 8TH Ave N
Seattle, WA 98109-6304
Mailing address
925 8TH Ave N
Seattle, WA 98109-6304
Phone (206) 631-2818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Bellevue, WA 98006
Phone (866) 525-3175
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.84
- Improvement activities
- 40
- Cost
- 70.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00010218 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Peninsula Physical Therapy, PLLC | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients | |
| King County Public Hospital District No. 2 | Physical Therapist | Current | Accepting new patients |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Swedish Health Services | Physical Therapist | Current | Accepting new patients |
| Washington Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
13555 SE 36th St
Ste 100
Bellevue, WA 98006
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369
19980 10th Ave NE
Ste 201
Poulsbo, WA 98370
Phone (360) 598-1538
800 5th Ave
Ste P100
Seattle, WA 98104
Phone (206) 320-2700
2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
111 Tumwater Blvd SE
Ste 113
Tumwater, WA 98501
Phone (360) 528-3300
Organizations & group practices 6
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.
-
- Physical Therapist
- Bellevue, WA
- NPI 1346808052
-
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Physical Therapy Clinic/Center
- Poulsbo, WA
- NPI 1447718556
-
- Family Medicine Physician
- Seattle, WA
- NPI 1831139724
-
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
- Physical Therapist
- Seattle, WA
- NPI 1619680840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410307200000",
"number": "1205922796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 8TH AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981096304",
"telephone_number": "206-631-2818",
"fax_number": "206-631-2819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 8TH AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981096304",
"telephone_number": "206-631-2818",
"fax_number": "206-631-2819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLERICH",
"first_name": "JENNIFER",
"middle_name": "C",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2014-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00010218",
"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 10, 2014; 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.