Active NPI
Ellen Koebel, PT
- Physical Therapist
- Kirkland, WA
National Provider Identifier
1265257281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60717
- Practice address
- 733 7TH Ave Ste 110
Kirkland, WA 98033-5657 - Phone
- (206) 717-8161
- NPI assigned
- Nov 15, 2024
- 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 | 60717 | OR | Primary |
Addresses
Primary practice location
733 7TH Ave Ste 110
Kirkland, WA 98033-5657
Mailing address
11010 Harbor Hill Dr Ste B594
Gig Harbor, WA 98332-8953
Phone (541) 317-9035
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60717 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1265257281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11010 HARBOR HILL DR STE B594",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983328953",
"telephone_number": "541-317-9035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 7TH AVE STE 110",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980335657",
"telephone_number": "206-717-8161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEBEL",
"first_name": "ELLEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-15",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "60717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.