Derek Reid, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT60767113 Issued in WA

Practice address

3601 Fremont Ave N Ste 414
Seattle, WA 98103-8753

Phone

(206) 548-1522

NPI assigned

Sep 7, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1295253466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 140TH AVE NE STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054571",
            "telephone_number": "425-746-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 FREMONT AVE N STE 414",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038753",
            "telephone_number": "206-548-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "DEREK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT60767113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Reichow
• Letealia Marie Reid-Scott, M.ED
• Amy Elizabeth Reid, LMHCA MC 61315816
• Brian J Reid
• Cordero Reid
• Duncan Takeru Andrew Reid, MD
• Heather Rhiannon Reid
• Jennifer Robin Reid, MD
• Kirsten Reid, D.P.T.
• Melissa Jamila Reid, PH.D.

• 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 Sep 7, 2017; 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.