Organization Active NPI

The Kegel Community

  • Physical Therapy Clinic/Center
  • North Bend, WA
National Provider Identifier
1346946407
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
THE KEGEL COMMUNITY
Practice address
103 Main Ave S Ste 208
North Bend, WA 98045-8197
Phone
(425) 270-7099
NPI assigned
Feb 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Dr. Kaeli Christine Gockel, DPT
Title
Doctor of Physical Therapy
Phone
(425) 270-7099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

103 Main Ave S Ste 208
North Bend, WA 98045-8197

Mailing address

103 Main Ave S Ste 208
North Bend, WA 98045-8197
Phone (425) 270-7099

Other names 1

  • Mount Si Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

103 Main Ave S
Ste 208
North Bend, WA 98045
Phone (425) 270-7099

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1346946407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MAIN AVE S STE 208",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458197",
            "telephone_number": "425-270-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MAIN AVE S STE 208",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458197",
            "telephone_number": "425-270-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KEGEL COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "GOCKEL",
        "authorized_official_first_name": "KAELI",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "425-270-7099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Si Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Bend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.