Kerry O Degaetani, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

1125 E Olive St Ste B
Seattle, WA 98122-8406

Phone

(206) 972-5978

Fax

(206) 322-9169

NPI assigned

Apr 28, 2011

Last updated

Aug 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• New Leaf Physical Therapy and Wellness PLLC

  • Physical Therapist
  • Snoqualmie, WA
  • NPI 1295430536
  NPD Authorized official
• Sage Physical Therapy PLLC

  • Orthopedic Physical Therapist
  • Seattle, WA
  • NPI 1245831205
  NPD

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1255622924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 SW ADMIRAL WAY # 402",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981162340",
            "telephone_number": "206-972-5978",
            "fax_number": "206-322-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E OLIVE ST STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981228406",
            "telephone_number": "206-972-5978",
            "fax_number": "206-322-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGAETANI",
        "first_name": "KERRY",
        "middle_name": "O",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-28",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "60920912",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kerry@sageptseattle.com",
            "affiliation": "N",
            "address_1": "1125 E Olive St Ste B",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981228406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eugene Vincent Defelice
• Katlyn Deforest, MA, LMHC
• Bryan T Deforrest, M.A.
• Ariana Defreitas, LMHCA
• Stacey Ann Defries
• Ayana Degaia, MD
• Leslie A Degasparis, N.D.
• Naomi Eileen Degasperi
• Taye Degefu, CMHS, MHP, EMMHS
• Marie Degennaro

• Orthopedic Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.