New Leaf Physical Therapy and Wellness PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NEW LEAF PHYSICAL THERAPY AND WELLNESS PLLC

Practice address

35003 SE Terrace St
Snoqualmie, WA 98065-5039

Phone

(425) 793-2017

Fax

(425) 490-6810

NPI assigned

Apr 4, 2023

Last updated

Aug 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kerry Degaetani, PTNPI 1255622924

Title

Owner

Phone

(703) 447-9696

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerry O Degaetani, PT

  • Orthopedic Physical Therapist
  • Seattle, WA
  • NPI 1255622924
  NPD Authorized official

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1295430536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 MAIN AVE S STE 107 PMB 204",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980455016",
            "telephone_number": "425-793-2017",
            "fax_number": "425-490-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35003 SE TERRACE ST",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980655039",
            "telephone_number": "425-793-2017",
            "fax_number": "425-490-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF PHYSICAL THERAPY AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "DEGAETANI",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-447-9696",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana H Nam, ARNP
• Elizabeth V. Naylor, PHD
• Neb Medical, Corp
• Ashley Nichole Wittig Nelson
• Aimee Nepomuceno, LMHCA
• Hema Nirmal, MD
• Northwest Kidney Centers (NKC Snoqualmie Ridge Kidney Center)
• Colyn Nouv, DPM
• Nyberg Health Enterprises Inc (Snoqualmie Village Pharmacy)
• Nyberg Health Enterprises Inc (The Falls Pharmacy)

• Physical Therapist in Snoqualmie, WA
• Providers in Snoqualmie, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.