Individual provider Active NPI

Katie Gilbrough, PT, DPT

  • Orthopedic Physical Therapist
  • Edmonds, WA
National Provider Identifier
1346810645
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
21827 76TH Ave W Ste 101
Edmonds, WA 98026-5141
Phone
(425) 582-0930
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

21827 76TH Ave W Ste 101
Edmonds, WA 98026-5141

Mailing address

21827 76TH Ave W Ste 101
Edmonds, WA 98026-5141
Phone (425) 582-0930

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221216002662 WA Practitioner - Physical Therapist in Private Practice 6507235355 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacmed ClinicsGroup PAC ID 2466350657, shared by 2 NPIs, 211 clinicians

Practice addresses (Care Compare)

10416 5TH Ave NE
Seattle, WA 98125-7402
Phone (206) 517-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pacmed Clinics CurrentSince Apr 22, 2024 Accepting new patients
Pacmed Clinics CurrentSince Apr 22, 2024 Accepting new patients
Premier Therapy Associates, LLC Orthopedic CurrentSince Sep 13, 2022 Accepting new patients
Pacmed Clinics CurrentSince Apr 22, 2024 Accepting new patients

Locations

21827 76th Ave W
Ste 101
Edmonds, WA 98026
Phone (425) 582-0930

220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400

10416 5th Ave NE
Seattle, WA 98125
Phone (206) 517-6667

1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101

1101 Madison St
Ste 400
Seattle, WA 98104
Phone (206) 505-1230

Organizations & group practices 4

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1346810645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21827 76TH AVE W STE 101",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980265141",
            "telephone_number": "425-582-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21827 76TH AVE W STE 101",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980265141",
            "telephone_number": "425-582-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBROUGH",
        "first_name": "KATIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.