Individual provider Active NPI

Ankita Gujaran

  • Physical Therapist
  • Federal Way, WA
National Provider Identifier
1316579477
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60995827 Issued in WA
Practice address
32129 Weyerhaeuser Way S Ste 100
Federal Way, WA 98001-9801
Phone
(253) 564-1530
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 60995827 WA Primary

Addresses

Primary practice location

32129 Weyerhaeuser Way S Ste 100
Federal Way, WA 98001-9801

Mailing address

485 150TH PL NE
Bellevue, WA 98007-5000
Phone (909) 283-9215

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200302002675 WA Practitioner - Physical Therapist in Private Practice 8426485517 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Rehabilitation PLLCGroup PAC ID 9133012362, 54 clinicians

Practice addresses (Care Compare)

17223 Avondale Way NE
Redmond, WA 98052-4411
Phone (425) 403-0232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60995827WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Feb 7, 2024 Accepting new patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Apr 8, 2024 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Jan 5, 2021 Accepting new patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Apr 8, 2024 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Feb 7, 2024 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Jan 5, 2021 Accepting new patients

Locations

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400

16259 Sylvester Rd SW
Ste 102
Burien, WA 98166
Phone (206) 242-5186

10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885

2431 Broadway
Everett, WA 98201
Phone (425) 252-4600

9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327

12121 Harbour Reach Dr
Ste 100
Mukilteo, WA 98275
Phone (425) 354-5110

17223 Avondale Way NE
Redmond, WA 98052
Phone (425) 403-0232

4700 42nd Ave SW
Ste 510
Seattle, WA 98116
Phone (206) 408-6523

Organizations & group practices 6

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": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1316579477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 150TH PL NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075000",
            "telephone_number": "909-283-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32129 WEYERHAEUSER WAY S STE 100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980019801",
            "telephone_number": "253-564-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUJARAN",
        "first_name": "ANKITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60995827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.