Active NPI
Kristen Michelle Giannaris, PT, DPT
- Physical Therapist
- Bothell, WA
National Provider Identifier
1376891044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 39188
- Practice address
- 10005 NE 204TH St
Bothell, WA 98011-2447 - Phone
- (925) 787-2664
- NPI assigned
- Aug 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 39188 | CA | Primary |
Addresses
Primary practice location
10005 NE 204TH St
Bothell, WA 98011-2447
Mailing address
10005 NE 204TH St
Bothell, WA 98011-2447
Phone (925) 787-2664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39188 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1376891044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10005 NE 204TH ST",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980112447",
"telephone_number": "925-787-2664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10005 NE 204TH ST",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980112447",
"telephone_number": "925-787-2664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIANNARIS",
"first_name": "KRISTEN",
"middle_name": "MICHELLE",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "39188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.