Active NPI
Angelica Arrozal Yehdego
- Physical Therapist
- Seattle, WA
National Provider Identifier
1245994540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61210090
- Practice address
- 10700 Meridian Ave N Ste 105
Seattle, WA 98133-9008 - Phone
- (206) 860-2222
- NPI assigned
- Oct 24, 2021
- 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 | PT61210090 | WA | Primary |
Addresses
Primary practice location
10700 Meridian Ave N Ste 105
Seattle, WA 98133-9008
Mailing address
500 Wall St Apt 1220
Seattle, WA 98121-1512
Phone (206) 850-8646
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1750 112TH Ave NE
Suite B102
Bellevue, WA 98004-3772
Phone (425) 688-5460
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.73 of 100
- Quality
- 73.46
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Overlake Medical Clinics, LLC | Current | Accepting new patients | |
| Overlake Medical Clinics LLC | Current | Accepting new patients |
Locations
1417 116th Ave NE
Ste 110
Bellevue, WA 98004
Phone (425) 688-5700
1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460
Organizations & group practices 2
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.
-
- Specialist
- Bellevue, WA
- NPI 1801828421
-
- Specialist
- Bellevue, WA
- NPI 1871745703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635033600000",
"number": "1245994540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WALL ST APT 1220",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981211512",
"telephone_number": "206-850-8646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 MERIDIAN AVE N STE 105",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981339008",
"telephone_number": "206-860-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEHDEGO",
"first_name": "ANGELICA",
"middle_name": "ARROZAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-24",
"last_updated": "2021-10-24",
"certification_date": "2021-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61210090",
"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 Oct 24, 2021; 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.