Michelle Nooryi On, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60692308 Issued in WA

Practice address

5410 California Ave SW Ste 101
Seattle, WA 98136-1562

Phone

(206) 913-8082

NPI assigned

Jul 17, 2017

Last updated

Jul 21, 2022By 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 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": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306368816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 CALIFORNIA AVE SW STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361562",
            "telephone_number": "206-913-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 CALIFORNIA AVE SW STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361562",
            "telephone_number": "206-913-8082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 SW 152nd St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981661700",
            "country_code": "US",
            "telephone_number": "206-743-8942",
            "fax_number": "206-743-8949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ON",
        "first_name": "MICHELLE",
        "middle_name": "NOORYI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60692308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Miyuki Omura, M.D.
• Jaclyn Christine Omura, M.D
• Travis Allen Omura
• On Site Dermatology of Washington PLLC
• Cindy On, DDS
• Natalia Isabelle Oncina, LMHC
• Vanessa Lynn Ondo, ARNP
• Christine V Ondro, PHARM.D.
• One Medical Group of Washington, P.C. (One Medical Group)
• One Medical Group of Washington, P.C. (One Medical)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.