Individual provider Active NPI

Deanna E. Irwin-Sires, PT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1417068289
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00006079 Issued in WA
Practice address
5124 NE Latimer PL
Seattle, WA 98105-4954
Phone
(206) 498-8496
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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 PT00006079 WA Primary

Addresses

Primary practice location

5124 NE Latimer PL
Seattle, WA 98105-4954

Mailing address

5417 Ivanhoe PL NE
Suite 110
Seattle, WA 98105-2838
Phone (206) 498-8496

Other names 1

  • Deanna E. Irwin Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070725000067 WA Practitioner - Physical Therapist in Private Practice 9436250107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5234 50TH Ave NE
Seattle, WA 98105-2813
Phone (206) 498-8496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Village Physical Therapy, LLC CurrentSince Oct 1, 2012 Accepting new patients
Physiotherapy Associates, Inc Past Accepting new patients
Flex Physical Therapy Physical Therapist PastSince Dec 4, 2002 Accepting new patients

Locations

5417 Ivanhoe Pl NE
Ste 110
Seattle, WA 98105

5234 50th Ave NE
Seattle, WA 98105
Phone (206) 395-6733

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1417068289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5417 IVANHOE PL NE",
            "address_2": "SUITE 110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052838",
            "telephone_number": "206-498-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5124 NE LATIMER PL",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054954",
            "telephone_number": "206-498-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN-SIRES",
        "first_name": "DEANNA",
        "middle_name": "E.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "IRWIN",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.