NPIMap

Organization Active NPI

King County Public Hospital District No. 2

Doing business as EvergreenHealth at Home Physical Therapy

  • Physical Therapist
  • Kirkland, WA
National Provider Identifier
1356920946
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2
Doing business as
EvergreenHealth at Home Physical Therapy
Practice address
12040 NE 128TH St # Ms -10
Kirkland, WA 98034-3013
Phone
(206) 466-0369
NPI assigned
Apr 2, 2021
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
William Howe
Title
Cfo
Phone
(425) 899-2606

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

12040 NE 128TH St # Ms -10
Kirkland, WA 98034-3013

Mailing address

PO Box 102928
Pasadena, CA 91189-2928
Phone (425) 899-3273

Other names 1

  • EvergreenHealth at Home Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031111000557 WA Part B Supplier - Clinic/Group Practice 7618880097 Receives reassigned benefits from 1,160 practitioners
27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kirkland, WA; Mill Creek, WA; Monroe, WA; Redmond, WA; Sammamish, WA; Sultan, WA; Woodinville, WA; Bothell, WA…

Other NPIs on the same Medicare enrollment 27

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 27

National Provider Directory

National Provider Directory
Tax ID family
Public Hosp District No 225 organizations share this tax ID, including this one
Part of
Public Hosp District No 2

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations (25 of 37)

12301 NE 10th Pl
Ste 101
Bellevue, WA 98005
Phone (425) 420-2663

18222 104th Ave NE
#201
Bothell, WA 98011
Phone (425) 899-1602

22010 17th Ave SE
Ste F
Bothell, WA 98021
Phone (425) 488-4988

14720 Main St NE
Ste C3
Duvall, WA 98019
Phone (425) 788-4889

21616 76th Ave W
Ste 100
Edmonds, WA 98026
Phone (425) 776-4214

1001 N Broadway
Everett, WA 98201
Phone (206) 498-9420

14506 Juanita Dr NE
Kenmore, WA 98028
Phone (425) 899-1070

18208 66th Ave NE
Kenmore, WA 98028
Phone (206) 485-6561

11521 NE 128th St
Kirkland, WA 98034
Phone (425) 221-0769

11800 NE 128th St
#200530
Kirkland, WA 98034
Phone (425) 899-4630

12039 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12039 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 899-1960

12040 NE 128th St
#119
Kirkland, WA 98034
Phone (425) 899-1000

12040 NE 128th St
#34
Kirkland, WA 98034
Phone (206) 821-1111

12303 NE 130th Ln
Ste 250
Kirkland, WA 98034
Phone (425) 899-5900

12303 NE 130th Ln
Ste 550
Kirkland, WA 98034
Phone (425) 899-3224

12333 NE 130th Ln
Ste 225
Kirkland, WA 98034
Phone (425) 899-5350

12333 NE 130th Ln
Ste 320
Kirkland, WA 98034
Phone (206) 899-0555

12333 NE 130th Ln
Ste 418
Kirkland, WA 98034
Phone (425) 899-5500

12822 124th Ln NE
Kirkland, WA 98034
Phone (425) 814-9840

12910 Totem Lake Blvd NE
Ste 260
Kirkland, WA 98034
Phone (425) 899-3292

12910 Totem Lake Blvd NE
Ste 265
Kirkland, WA 98034

12911 120th Ave NE
Ste G105
Kirkland, WA 98034
Phone (425) 899-6972

13030 121st Way NE
Ste 203
Kirkland, WA 98034
Phone (206) 820-0740

4220 132nd St SE
Ste 103
Mill Creek, WA 98012
Phone (425) 225-1210

Practitioners & affiliated clinicians

Practitioners 1,292

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,292

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1356920946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102928",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911892928",
            "telephone_number": "425-899-3273",
            "fax_number": "425-899-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12040 NE 128TH ST # MS -10",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343013",
            "telephone_number": "206-466-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2",
        "enumeration_date": "2021-04-02",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "HOWE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "425-899-2606"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EvergreenHealth at Home Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.