Active NPI
Ken C Jones, PT
- Physical Therapist
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00009107
- Practice address
- 12911 120TH Ave NE
Suite H-220
Kirkland, WA 98034-3027 - Phone
- (425) 216-7075
- Fax
- (425) 216-7094
- NPI assigned
- Oct 5, 2006
- Last updated
- Nov 22, 2019
- Sex
- Male
- 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 | PT00009107 | WA | Primary |
Addresses
Primary practice location
12911 120TH Ave NE
Suite H-220
Kirkland, WA 98034-3027
Mailing address
16261 Redmond Way
Ste 100
Redmond, WA 98052-3833
Phone (206) 264-8100
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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12911 120TH Ave NE
Suite F120
Kirkland, WA 98034-3025
Phone (425) 881-3001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00009107 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redmond Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
12911 120th Ave NE
Ste F120
Kirkland, WA 98034
Phone (425) 305-2940
16261 Redmond Way
#100
Redmond, WA 98052
Phone (425) 881-3001
Organizations & group practices 1
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.
-
dba Premier Physical Therapy
- Physical Therapist
- Kirkland, WA
- NPI 1962643965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574380800000",
"number": "1225124365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16261 REDMOND WAY",
"address_2": "STE 100",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523833",
"telephone_number": "206-264-8100",
"fax_number": "206-264-8689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12911 120TH AVE NE",
"address_2": "SUITE H-220",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343027",
"telephone_number": "425-216-7075",
"fax_number": "425-216-7094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KEN",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2019-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00009107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.