Individual provider Active NPI

Kaela Anne Pauly, PT, DPT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1316487457
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60728384 Issued in WA
Practice address
10564 5TH Ave NE Ste 405
Seattle, WA 98125-7200
Phone
(206) 672-0145
Fax
(855) 564-1831
NPI assigned
Mar 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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 PTL.0014255 CO
Physical Therapist 225100000X 117153 AK
Physical Therapist 225100000X PT60728384 WA Primary

Addresses

Primary practice location

10564 5TH Ave NE Ste 405
Seattle, WA 98125-7200

Mailing address

10564 5TH Ave NE Ste 405
Seattle, WA 98125-7200
Phone (206) 672-0145

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180516002623 WA Practitioner - Physical Therapist in Private Practice 2365706553 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vestibular Therapy Specialists LLCGroup PAC ID 9537545850, 6 clinicians

Practice addresses (Care Compare)

10564 5TH Ave NE
Seattle, WA 98125-7200
Phone (206) 672-0145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117153AKMDPhysical Therapist
PTL.0014255COMDPhysical Therapist
PT60728384WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Physical Therapist CurrentSince Mar 5, 2018 Accepting new patients
Multicare Health System CurrentSince Mar 5, 2018 Accepting new patients
Concierge Physical Therapists LLC Physical Therapist CurrentSince Oct 1, 2020 Accepting new patients
Vestibular Therapy Specialists, LLC Physical Therapist CurrentSince Apr 18, 2022 Accepting new patients
Multicare Health System Current Accepting new patients

Locations

1030 15th St NW
Ste 246
Washington, DC 20005

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

925 N 130th St
Seattle, WA 98133
Phone (206) 895-4653

10564 5th Ave NE
Ste 405
Seattle, WA 98125
Phone (206) 306-9026

10564 5th Ave NE
Ste 203
Seattle, WA 98125
Phone (206) 367-1345

925 N 130th St
Ste 104
Seattle, WA 98133
Phone (206) 672-0145

Organizations & group practices 5

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": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1316487457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10564 5TH AVE NE STE 405",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257200",
            "telephone_number": "206-672-0145",
            "fax_number": "855-564-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10564 5TH AVE NE STE 405",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257200",
            "telephone_number": "206-672-0145",
            "fax_number": "855-564-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULY",
        "first_name": "KAELA",
        "middle_name": "ANNE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0014255",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "117153",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60728384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.