Individual provider Active NPI

Sharonda T Jenkins, DPT, FMT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1235515230
Registry record updated Jan 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61429052 Issued in WA
Practice address
5025 25TH Ave NE Ste 201
Seattle, WA 98105-4152
Phone
(206) 524-6702
Fax
(206) 524-6703
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT871825 DC
Physical Therapist 225100000X PT61429052 WA Primary

Addresses

Primary practice location

5025 25TH Ave NE Ste 201
Seattle, WA 98105-4152

Mailing address

5025 25TH Ave NE Ste 201
Seattle, WA 98105-4152
Phone (206) 524-6702

Other identifiers 1

IdentifierTypeStateIssuer
K949 - 0078OtherDCCAREFIRST

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222002741 WA Practitioner - Physical Therapist in Private Practice 3476997974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Therapy Associates LLCGroup PAC ID 1850683988, 5 clinicians

Practice addresses (Care Compare)

21827 76TH Ave W
Suite 101
Edmonds, WA 98026-5141
Phone (425) 582-0930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT871825DCMDPhysical Therapist
PT61429052WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Apr 17, 2025 Accepting new patients
Premier Therapy Associates, LLC Physical Therapist CurrentSince Jul 9, 2025 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Heavenly Touch Physical Therapy PLLC Current Accepting new patients
Alliance Rehabilitation, LLC Physical Therapist Past Accepting new patients
Active Physical Therapy Services, LLC Physical Therapist Past Accepting new patients

Locations

21827 76th Ave W
Ste 101
Edmonds, WA 98026
Phone (425) 582-0930

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

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.

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705708800000",
    "number": "1235515230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 25TH AVE NE STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054152",
            "telephone_number": "206-524-6702",
            "fax_number": "206-524-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 25TH AVE NE STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054152",
            "telephone_number": "206-524-6702",
            "fax_number": "206-524-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "SHARONDA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DPT, FMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT871825",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61429052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "K949 - 0078",
            "state": "DC"
        }
    ],
    "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 Jan 20, 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.