Individual provider Active NPI

Austen L Stutsman, DPT, NREMT

  • Physical Therapist
  • Issaquah, WA
National Provider Identifier
1376899054
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
405 NW Gilman Blvd
Suite 200
Issaquah, WA 98027-2470
Phone
(425) 392-6804
Fax
(425) 392-6805
NPI assigned
Jul 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6743 SC
Physical Therapist 225100000X WA Primary

Addresses

Primary practice location

405 NW Gilman Blvd
Suite 200
Issaquah, WA 98027-2470

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140311000581 WA Practitioner - Physical Therapist in Private Practice 8123275682 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Luna Care Physical Therapy LLCGroup PAC ID 7416283817, 161 clinicians
Swedish Health ServicesGroup PAC ID 9537072814, 384 clinicians

Practice addresses (Care Compare)

Bellevue, WA 98006
Phone (866) 525-3175

800 5TH Ave
Suite P100
Seattle, WA 98104-3176
Phone (206) 320-3351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6743SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Apr 5, 2021 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jun 22, 2015 Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Nov 14, 2023 Accepting new patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Nov 14, 2023 Accepting new patients
Swedish Health Services Current Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Jun 22, 2015 Accepting new patients
Therapeutic Associates Inc Physical Therapist Current Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Apr 5, 2021 Accepting new patients
Swedish Health Services Physical Therapist CurrentSince May 29, 2024 Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations (25 of 28)

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1188 106th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 454-4864

13555 SE 36th St
Ste 100
Bellevue, WA 98006

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

405 NW Gilman Blvd
Ste 200
Issaquah, WA 98027
Phone (425) 392-6804

1408 N Louisiana St
Ste 104A
Kennewick, WA 99336
Phone (509) 783-1962

25248 Pacific Hwy S
Kent, WA 98032

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

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

9762 NE 119th Way
Kirkland, WA 98034
Phone (425) 823-8119

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

7650 SE 27th St
Ste 112
Mercer Island, WA 98040
Phone (206) 230-8320

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

17901 Bothell Everett Hwy
Mill Creek, WA 98012
Phone (425) 424-3924

6601 220th St SW
Ste 1
Mountlake Terrace, WA 98043
Phone (425) 775-7274

916 N 10th Pl
Bldg 306
Renton, WA 98057
Phone (425) 207-7850

4820 NE 4th St
Ste A104
Renton, WA 98059
Phone (425) 207-7043

5420 Barnes Ave NW
Seattle, WA 98107
Phone (206) 789-7975

800 5th Ave
Ste P100
Seattle, WA 98104
Phone (206) 320-2700

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1376899054",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NW GILMAN BLVD",
            "address_2": "SUITE 200",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272470",
            "telephone_number": "425-392-6804",
            "fax_number": "425-392-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTSMAN",
        "first_name": "AUSTEN",
        "middle_name": "L",
        "credential": "DPT, NREMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6743",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.