Individual provider Active NPI

Greta Jean Tvedt, PT, DPT

  • Physical Therapist
  • Issaquah, WA
National Provider Identifier
1386376341
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1301 4TH Ave NW Ste 300
Issaquah, WA 98027-9371
Phone
(425) 395-7317
Fax
(425) 395-7319
NPI assigned
Jun 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1301 4TH Ave NW Ste 300
Issaquah, WA 98027-9371

Mailing address

3052 231St LN SE Apt C106
Sammamish, WA 98075-7265
Phone (815) 545-3836

Other names 1

  • Greta Jean Spitzer Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220921003635 WA Practitioner - Physical Therapist in Private Practice 2264817576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Snoqualmie Ridge Physical Therapy, P.S.Group PAC ID 4880689074, 6 clinicians

Practice addresses (Care Compare)

7726 Ctr Blvd SE
Suite 220
Snoqualmie, WA 98065-8753
Phone (425) 396-7778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Phenix Physical Therapy & Personal Wellness, LLC Physical Therapist CurrentSince Aug 9, 2022 Accepting new patients
Snoqualmie Ridge Physical Therapy, P.S. Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients

Locations

1301 4th Ave NW
Ste 300
Issaquah, WA 98027
Phone (206) 713-6249

7726 Center Blvd SE
Ste 220
Snoqualmie, WA 98065
Phone (425) 313-3055

Interoperability endpoints

  • Direct secure messaging: greta.spitzer.1@19198.direct.athenahealth.com

Organizations & group practices 2

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": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1386376341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3052 231ST LN SE APT C106",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980757265",
            "telephone_number": "815-545-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 4TH AVE NW STE 300",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980279371",
            "telephone_number": "425-395-7317",
            "fax_number": "425-395-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TVEDT",
        "first_name": "GRETA",
        "middle_name": "JEAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETA",
            "last_name": "SPITZER",
            "middle_name": "JEAN",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 16, 2024; 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.