Active NPI
Janelle A Trippany, DPT
- Physical Therapist
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60782895
- Practice address
- 400 S 43Rd St
Renton, WA 98055-5714 - Phone
- (425) 251-5165
- Fax
- (425) 656-4028
- NPI assigned
- Jul 25, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | TX60790965 | WA | |
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | PT60782895 | WA | Primary |
Addresses
Primary practice location
400 S 43Rd St
Renton, WA 98055-5714
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
16651 Harlem Ave
Tinley Park, IL 60477-2895
Phone (708) 444-2467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01061438 | Other | IL | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16850 SE 272ND St
Covington, WA 98042-4931
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60782895 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group-Renton | Current | Accepting new patients | |
| Public Hospital District #1 of King County | Past | Accepting new patients |
Locations
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
4033 Talbot Rd S
Ste 300
Renton, WA 98055
Phone (425) 203-8890
400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450
3600 Lind Ave SW
Ste 100
Renton, WA 98057
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.
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
-
- Rehabilitation Hospital Unit
- Renton, WA
- NPI 1811063308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1386922482",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S 43RD ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980555714",
"telephone_number": "425-251-5165",
"fax_number": "425-656-4028"
}
],
"practiceLocations": [
{
"address_1": "16651 Harlem Ave",
"address_purpose": "LOCATION",
"city": "Tinley Park",
"state": "IL",
"postal_code": "604772895",
"country_code": "US",
"telephone_number": "708-444-2467",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRIPPANY",
"first_name": "JANELLE",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "TX60790965",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60782895",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01061438",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.