Individual provider Active NPI

Kaitlyn Thuc-Quynh Nguyen, DPT

  • Physical Therapist
  • Normandy Park, WA
National Provider Identifier
1255121935
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PENDING Issued in WA
Practice address
19711 1St Ave S
Normandy Park, WA 98148-2401
Phone
(206) 913-8082
NPI assigned
May 7, 2025
Last updated
May 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PENDING WA Primary

Addresses

Primary practice location

19711 1St Ave S
Normandy Park, WA 98148-2401

Mailing address

13345 NE 134TH PL
Kirkland, WA 98034-5537

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251008003920 WA Practitioner - Physical Therapist in Private Practice 5799282422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life in Balance Physical Therapy and Pilates LLCGroup PAC ID 2961645825, 5 clinicians

Practice addresses (Care Compare)

19711 1St Ave S
Normandy Park, WA 98148-2401
Phone (206) 743-8942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PENDINGWAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Life in Balance Physical Therapy and Pilates, LLC Physical Therapist CurrentSince Aug 19, 2025 Accepting new patients

Locations

19711 1st Ave S
Normandy Park, WA 98148
Phone (206) 743-8942

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1255121935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13345 NE 134TH PL",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19711 1ST AVE S",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482401",
            "telephone_number": "206-913-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KAITLYN",
        "middle_name": "THUC-QUYNH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normandy Park, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.