Individual provider Active NPI

Chanel Sijalbo, DPT

  • Physical Therapist
  • Bothell, WA
National Provider Identifier
1306597703
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61670602 Issued in WA
Practice address
18323 98TH Ave NE Ste 1
Bothell, WA 98011-3358
Phone
(425) 371-7070
NPI assigned
Jan 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT301539 CA
Physical Therapist 225100000X PT61670602 WA Primary
Physical Medicine & Rehabilitation Physician 208100000X 301539 CA

Addresses

Primary practice location

18323 98TH Ave NE Ste 1
Bothell, WA 98011-3358

Mailing address

18323 98TH Ave NE Ste 1
Bothell, WA 98011-3358
Phone (425) 371-7070

Other practice location 1

255 N Elm St Ste 202
Escondido, CA 92025-3431
Phone (442) 277-4142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250509003098 WA Practitioner - Physical Therapist in Private Practice 3577955343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

23515 NE Novelty Hill Rd
Suite B213
Redmond, WA 98053-2072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
301539CAMDPhysical Medicine & Rehabilitation Physician
PT301539CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select San Diego Physical Therapy, PC. CurrentSince Oct 1, 2022 Accepting new patients
Physiotherapy Associates Inc CurrentSince May 12, 2025 Accepting new patients
Select San Diego Physical Therapy, PC. Current Accepting new patients
Physiotherapy Associates, Inc. CurrentSince May 12, 2025 Accepting new patients
Proresults Physical Therapy Inc. Physical Therapist CurrentSince Jan 17, 2022 Accepting new patients
Physiotherapy Associates, Inc. Physical Therapist Current Accepting new patients
Select San Diego Physical Therapy, PC. Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients

Locations

2060 Otay Lakes Rd
Ste 110
Chula Vista, CA 91913
Phone (619) 373-9222

255 N Elm St
Ste 202
Escondido, CA 92025
Phone (442) 277-4142

5648 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 464-1352

15525 Pomerado Rd
Ste C8
Poway, CA 92064
Phone (858) 674-4263

7625 Mesa College Dr
Ste 101
San Diego, CA 92111
Phone (858) 569-6800

3737 Moraga Ave
Ste B117
San Diego, CA 92117
Phone (858) 270-0981

16935 W Bernardo Dr
Ste 180
San Diego, CA 92127
Phone (858) 217-5837

3939 Ruffin Rd
Ste 103
San Diego, CA 92123
Phone (858) 308-4185

3218 Governor Dr
San Diego, CA 92122
Phone (858) 453-3000

137 S Las Posas Rd
Ste 254
San Marcos, CA 92078
Phone (760) 290-3121

18323 98th Ave NE
Ste 1
Bothell, WA 98011
Phone (425) 371-7070

23515 NE Novelty Hill Rd
Ste B213
Redmond, WA 98053
Phone (425) 868-5260

Organizations & group practices 7

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": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1306597703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18323 98TH AVE NE STE 1",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113358",
            "telephone_number": "425-371-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18323 98TH AVE NE STE 1",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113358",
            "telephone_number": "425-371-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 N Elm St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920253431",
            "country_code": "US",
            "telephone_number": "442-277-4142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIJALBO",
        "first_name": "CHANEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT301539",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61670602",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "301539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.