Active NPI
Sharonda T Jenkins, DPT, FMT
- Physical Therapist
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61429052
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K949 - 0078 | Other | DC | CAREFIRST |
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT871825 | DC | MD | Physical Therapist |
| PT61429052 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Public Hospital District No. 2 | Physical Therapist | Current | Accepting new patients |
| Premier Therapy Associates, LLC | Physical Therapist | Current | 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.
-
- Orthopedic Physical Therapist
- Edmonds, WA
- NPI 1255790374
-
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Orthopedic Physical Therapist
- Seattle, WA
- NPI 1790521300
-
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
- Physical Therapist
- Laurel, MD
- NPI 1225217334
-
- Physical Therapist
- Herndon, VA
- NPI 1770799041
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.