Individual provider Active NPI

Virginia D Menting, PT

  • Physical Therapist
  • Issaquah, WA
National Provider Identifier
1316900970
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00007951 Issued in WA
Practice address
22500 SE 64TH PL
Building G, Suite 115
Issaquah, WA 98027-8111
Phone
(425) 441-6075
Fax
(425) 746-2471
NPI assigned
Apr 6, 2006
Last updated
Oct 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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 PT00007951 WA Primary

Addresses

Primary practice location

22500 SE 64TH PL
Building G, Suite 115
Issaquah, WA 98027-8111

Mailing address

1560 140TH Ave NE
Suite 100
Bellevue, WA 98005-4571
Phone (425) 746-2475

Other names 1

  • Virginia Dooley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00007951WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Physical Therapy Inc, P.S. Physical Therapist CurrentSince Jan 2, 2013 Accepting new patients
Olympic Physical Therapy, Inc Physical Therapist Past Accepting new patients
Physiotherapy Associates Inc Physical Therapist Past Accepting new patients

Locations

730 NW Gilman Blvd
Ste C108
Issaquah, WA 98027
Phone (425) 391-6794

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1316900970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 140TH AVE NE",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054571",
            "telephone_number": "425-746-2475",
            "fax_number": "425-746-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22500 SE 64TH PL",
            "address_2": "BUILDING G, SUITE 115",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278111",
            "telephone_number": "425-441-6075",
            "fax_number": "425-746-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTING",
        "first_name": "VIRGINIA",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "DOOLEY",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.