Direct Access Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DIRECT ACCESS THERAPY PLLC

Practice address

444 Rainbow Dr
Sedro Woolley, WA 98284-9514

Phone

(206) 818-4739

NPI assigned

Jan 19, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Kevin C Malone, PT

Title

Owner/Manager

Phone

(206) 818-4739

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1326790502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 RAINBOW DR",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849514",
            "telephone_number": "206-818-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 RAINBOW DR",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849514",
            "telephone_number": "206-818-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT ACCESS THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "206-818-4739",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne A Deluca, RN
• Shelby Diana Marie Demery
• Bethany Denison
• Dietrich & Smith Clinic Inc P S
• Christina Marie Dietz
• Brittany Sky Dobbs
• Yvonne Dofflemyer, RN
• Martha Dominguez Gonzalez I
• Kymberly Douglas
• Patrick Driscoll

• Physical Therapist in Sedro Woolley, WA
• Providers in Sedro Woolley, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.