Individual provider Active NPI

Alyson Leigh Kilgus, DPT

  • Physical Therapist
  • Graham, WA
National Provider Identifier
1326295924
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60028702 Issued in WA
Practice address
21806 103Rd Avenue CT E
#202
Graham, WA 98338-8115
Phone
(253) 847-3700
Fax
(256) 847-9622
NPI assigned
Aug 26, 2008
Last updated
Aug 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 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 PT60028702 WA Primary

Addresses

Primary practice location

21806 103Rd Avenue CT E
#202
Graham, WA 98338-8115

Mailing address

315 Martin L King Jr Way
Tacoma, WA 98405-4234
Phone (253) 891-7490

Other identifiers 3

IdentifierTypeStateIssuer
0291093OtherWADEPT. OF LABOR AND INDUSTRIES
P00725348OtherWAMEDICARE RAILROAD
8520769MedicaidWA

Other names 1

  • Alyson Leigh Suchland Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080926000332 WA Practitioner - Physical Therapist in Private Practice 9739256108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-1291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Physical Therapist CurrentSince Jul 25, 2016 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Aug 20, 2008 Accepting new patients
Multicare Health System CurrentSince Jul 25, 2016 Accepting new patients
Multicare Health System Current Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Aug 20, 2008 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

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

21806 103rd Avenue Ct E
Ste 103
Graham, WA 98338
Phone (253) 847-3700

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

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

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, 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": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1326295924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MARTIN L KING JR WAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054234",
            "telephone_number": "253-891-7490",
            "fax_number": "253-863-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21806 103RD AVENUE CT E",
            "address_2": "#202",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983388115",
            "telephone_number": "253-847-3700",
            "fax_number": "256-847-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGUS",
        "first_name": "ALYSON",
        "middle_name": "LEIGH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60028702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR AND INDUSTRIES",
            "identifier": "0291093",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00725348",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8520769",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSON",
            "last_name": "SUCHLAND",
            "middle_name": "LEIGH",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Graham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.