Active NPI
Kevin R Piasecki, MSPT, OCS
- Orthopedic Physical Therapist
- Mountlake Terrace, WA
National Provider Identifier
1285740449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT00008038
- Practice address
- 6808 220TH St SW Ste 303
Mountlake Terrace, WA 98043-2187 - Phone
- (425) 650-1900
- Fax
- (425) 650-1970
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT00008038 | WA | Primary |
Addresses
Primary practice location
6808 220TH St SW Ste 303
Mountlake Terrace, WA 98043-2187
Mailing address
6808 220TH St SW Ste 303
Mountlake Terrace, WA 98043-2187
Phone (425) 650-1900
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, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6808 220TH St SW
Suite 303
Mountlake Terrace, WA 98043-2187
Phone (425) 650-1900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympic Sports Rehab | Orthopedic | Current | Accepting new patients |
| Highline Physical Therapy Group | Orthopedic | Past | Accepting new patients |
Locations
6808 220th St SW
Ste 303
Mountlake Terrace, WA 98043
Phone (425) 650-1900
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1285740449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6808 220TH ST SW STE 303",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980432187",
"telephone_number": "425-650-1900",
"fax_number": "425-650-1970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6808 220TH ST SW STE 303",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980432187",
"telephone_number": "425-650-1900",
"fax_number": "425-650-1970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIASECKI",
"first_name": "KEVIN",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "MSPT, OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WA",
"license": "PT00008038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountlake Terrace, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.