Alexis Anne Eusterbrock, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00010524 Issued in WA

Practice address

11821 NE 128TH St Ste C
Kirkland, WA 98034-7210

Phone

(425) 285-1250

NPI assigned

Aug 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Alexis Anne Janke Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stride Physio PLLC

  dba Stride Physio

  • Physical Therapy Clinic/Center
  • Seattle, WA
  • NPI 1750703567
  Medicare reassignment NPD
• Morgan Kriz PLLC

  dba Vestibular Therapy Specialists

  • Physical Therapy Clinic/Center
  • Seattle, WA
  • NPI 1194360255

  Physical Therapist

  NPD

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1346430659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 NE 128TH ST STE C",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347210",
            "telephone_number": "425-285-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUSTERBROCK",
        "first_name": "ALEXIS",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR AND INDUSTRIES",
            "identifier": "0290887",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8492563",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "JANKE",
            "middle_name": "ANNE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Esterly Counseling, LLC
• Marianne Esterly, M.A., LMHC
• Isaac Alexander Estrada, RN
• Philip J Etheredge, DDS
• Michael D Eulberg
• Antoinette Evans, MA LMFT
• Jason C Evans
• Rome William Evans, RT (R) (MR) (ARRT)
• Shannon Evans
• Temperance Wick Evans, PSY.D.

• Physical Therapist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.