Active NPI
Makenzi Kaiser, DPT
- Physical Therapist
- Bellevue, WA
National Provider Identifier
1396565263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61558248
- Practice address
- 13555 SE 36TH St Ste 100
Bellevue, WA 98006-1456 - Phone
- (866) 839-6979
- Fax
- (916) 913-5646
- NPI assigned
- Oct 15, 2024
- 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 | 2305215866 | VA | |
| Physical Therapist | 225100000X | PT210002342 | DC | |
| Physical Therapist | 225100000X | PT61558248 | WA | Primary |
Addresses
Primary practice location
13555 SE 36TH St Ste 100
Bellevue, WA 98006-1456
Mailing address
13555 SE 36TH St Ste 100
Bellevue, WA 98006-1456
Phone (866) 839-6979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT210002342 | DC | MD | Physical Therapist |
| 2305215866 | VA | MD | Physical Therapist |
| PT61558248 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| King County Public Hospital District No. 2 | Physical Therapist | Current | Accepting new patients |
| Radia Inc P S | Past | Accepting new patients | |
| The Association of University Physicians | Past | Accepting new patients | |
| University of Washington | Past | Accepting new patients |
Locations
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369
1959 NE Pacific St
Fl 8
Seattle, WA 98195
Phone (206) 598-4295
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
Organizations & group practices 5
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
- Diagnostic Radiology Physician
- Lynnwood, WA
- NPI 1932196607
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1023041159
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1396565263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13555 SE 36TH ST STE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061456",
"telephone_number": "866-839-6979",
"fax_number": "916-913-5646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13555 SE 36TH ST STE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061456",
"telephone_number": "866-839-6979",
"fax_number": "916-913-5646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAISER",
"first_name": "MAKENZI",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-15",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305215866",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT210002342",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61558248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
- Kaiser Foundation Health Plan of Washington
- Kaiser Foundation Health Plan of Washington
- Kaiser Foundation Health Plan of Washington
- Kaiser Foundation Health Plan of Washington
- Kaiser Foundation Health Plan of Washington
- Lisa Kajimura, D.D.S.
- Maxim Kakurin
- Tomoko Kakutani, L.AC, M.S.
- Eline Kalamkaryan, MD
- Kaleidoscope LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.