Fiyorela Tessema Degefa, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

60894275 Issued in WA

Practice address

8811 176TH St E
Puyallup, WA 98375-9724

Phone

(253) 455-1300

NPI assigned

Apr 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1407419484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 S 133RD ST UNIT B301",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981785040",
            "telephone_number": "206-694-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 176TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759724",
            "telephone_number": "253-455-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGEFA",
        "first_name": "FIYORELA",
        "middle_name": "TESSEMA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "60894275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Aaron De Witt, PA-C
• Makenzie Dearborn, OTR/L
• Dedicated Womens Health Specialists Inc P.S.
• Fnu Deepmala, M.D.
• Judith A Defelice, PHD
• Paul S Degenfelder, MD
• Helene Susan Dehaan, FNP
• Dawnya Yvette Del Vecchio, PHARMD
• Faye Adelle I Dela Cruz
• Shannon Delaney

• Physical Therapy Assistant in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.