Individual provider Active NPI

Alisa Virginia Feuerstein

  • Physical Therapist
  • Bellevue, WA
National Provider Identifier
1225890247
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61479454 Issued in WA
Practice address
13425 SE 30TH St Ste 2C
Bellevue, WA 98005-4450
Phone
(425) 800-4488
Fax
(425) 201-2380
NPI assigned
Jan 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 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 PT61479454 WA Primary

Addresses

Primary practice location

13425 SE 30TH St Ste 2C
Bellevue, WA 98005-4450

Mailing address

13425 SE 30TH St Ste 2C
Bellevue, WA 98005-4450
Phone (425) 800-4488

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240214000480 WA Practitioner - Physical Therapist in Private Practice 4183068521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2000 Hewitt Ave
Suite 115
Everett, WA 98201-3600
Phone (425) 252-3908

22910 Bothell Everett Hwy
Suite 107
Bothell, WA 98021-9327
Phone (425) 686-7656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT61479454WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Everett Physical Therapy and Sport Performance Center PLLC Physical Therapist CurrentSince Jan 23, 2024 Accepting new patients
Everett Physical Therapy and Sport Performance Center PLLC CurrentSince Jan 23, 2024 Accepting new patients
Everett Physical Therapy and Sport Performance Center PLLC Physical Therapist Past Accepting new patients

Locations

1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052

13425 SE 30th St
Ste 2C
Bellevue, WA 98005
Phone (425) 628-2072

22910 Bothell Everett Hwy
Ste 107
Bothell, WA 98021
Phone (425) 686-7656

2000 Hewitt Ave
Ste 115
Everett, WA 98201
Phone (425) 252-3908

10600 NE 68th St
Ste C
Kirkland, WA 98033
Phone (425) 823-1389

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1225890247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13425 SE 30TH ST STE 2C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054450",
            "telephone_number": "425-800-4488",
            "fax_number": "425-201-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13425 SE 30TH ST STE 2C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054450",
            "telephone_number": "425-800-4488",
            "fax_number": "425-201-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEUERSTEIN",
        "first_name": "ALISA",
        "middle_name": "VIRGINIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61479454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.