Active NPI
Lauren Helene Vandyken, DPT
- Physical Therapist
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60404908
- Practice address
- 1448 NW Market St
Seattle, WA 98107-3743 - Phone
- (206) 860-2210
- NPI assigned
- Sep 17, 2013
- 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 | PT60404908 | WA | Primary |
Addresses
Primary practice location
1448 NW Market St
Seattle, WA 98107-3743
Mailing address
1145 Broadway
Seattle, WA 98122-4201
Phone (206) 860-5414
Other practice location 1
3901 Hoyt Ave
Everett, WA 98201-4988
Phone (425) 304-8489
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60404908 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| The Polyclinic | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| Greenwood Physical Therapy PLLC | Physical Therapist | Past | Accepting new patients |
Locations
3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419
3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
1145 Broadway
Seattle, WA 98122
1448 NW Market St
Seattle, WA 98107
Phone (206) 781-6353
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
Organizations & group practices 7
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.
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
-
- Ambulatory Surgical Clinic/Center
- Arlington, WA
- NPI 1366154304
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1831186766
-
- Radiation Oncology Physician
- Seattle, WA
- NPI 1962824219
-
- Audiologist
- Seattle, WA
- NPI 1174594634
-
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
-
- Physical Therapist
- Seattle, WA
- NPI 1982786596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1235565607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 BROADWAY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981224201",
"telephone_number": "206-860-5414",
"fax_number": "206-720-8462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1448 NW MARKET ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981073743",
"telephone_number": "206-860-2210"
}
],
"practiceLocations": [
{
"address_1": "3901 Hoyt Ave",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982014988",
"country_code": "US",
"telephone_number": "425-304-8489",
"fax_number": "425-304-8449",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDYKEN",
"first_name": "LAUREN",
"middle_name": "HELENE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-17",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60404908",
"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 Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.