Individual provider Active NPI

Edward Yi

  • Physical Therapist
  • Kent, WA
National Provider Identifier
1255099784
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
25012 104TH Ave SE Ste C
Kent, WA 98030-2821
Phone
(253) 856-3477
Fax
(253) 856-3478
NPI assigned
Dec 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 28765 MD
Physical Therapist 225100000X 303594 CA
Physical Therapist 225100000X WA Primary

Addresses

Primary practice location

25012 104TH Ave SE Ste C
Kent, WA 98030-2821

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

12400 High Bluff Dr
San Diego, CA 92130-3077
Phone (855) 435-7822

Other practice location 2

4640 Admiralty Way
Marina Del Rey, CA 90292-6621
Phone (424) 526-5151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WA, CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220125001101 MD Practitioner - Physical Therapist in Private Practice 2769874734 Reassigns benefits to 2 organizations
I20220419001066 WA Practitioner - Physical Therapist in Private Practice 2769874734 Reassigns benefits to 1 organization
I20230307000822 CA Practitioner - Physical Therapist in Private Practice 2769874734 Reassigns benefits to 1 organization

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
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians
Select CS Physical Therapy PCGroup PAC ID 1355742081, 177 clinicians

Practice addresses (Care Compare)

17800 Talbot Rd S
Suite D
Renton, WA 98055-5740
Phone (425) 277-9096

4640 Admiralty Way
Suite 420
Marina del Rey, CA 90292-6617
Phone (424) 526-5151

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
303594CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select CS Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Apr 4, 2022 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist Current Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Aug 1, 2024 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Apr 4, 2022 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Dec 13, 2021 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Dec 13, 2021 Accepting new patients

Locations

4640 Admiralty Way
Ste 420
Marina del Rey, CA 90292
Phone (424) 526-5151

2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

2400 Boston St
Ste 114
Baltimore, MD 21224
Phone (410) 826-6585

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

20821 Sr 410 E
Bonney Lake, WA 98391
Phone (253) 863-7510

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

25012 104th Ave SE
Ste C
Kent, WA 98030
Phone (253) 856-3477

12926 SE Kent Kangley Rd
Kent, WA 98030
Phone (253) 216-1041

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

17800 Talbot Rd S
Ste D
Renton, WA 98055
Phone (425) 277-9096

Organizations & group practices 8

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": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1255099784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25012 104TH AVE SE STE C",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302821",
            "telephone_number": "253-856-3477",
            "fax_number": "253-856-3478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12400 High Bluff Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921303077",
            "country_code": "US",
            "telephone_number": "855-435-7822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4640 Admiralty Way",
            "address_purpose": "LOCATION",
            "city": "Marina Del Rey",
            "state": "CA",
            "postal_code": "902926621",
            "country_code": "US",
            "telephone_number": "424-526-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YI",
        "first_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-01",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28765",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303594",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.