Individual provider Active NPI

Janell Endo, DPT

  • Physical Therapist
  • Lakewood, WA
National Provider Identifier
1427667054
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61058245 Issued in WA
Practice address
9521 Gravelly Lake Dr SW
Lakewood, WA 98499-1513
Phone
(253) 983-9395
NPI assigned
Jul 29, 2020
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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 PT61058245 WA Primary

Addresses

Primary practice location

9521 Gravelly Lake Dr SW
Lakewood, WA 98499-1513

Mailing address

531 Berkeley Ave
Fircrest, WA 98466-6901
Phone (208) 705-2058

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210309003165 WA Practitioner - Physical Therapist in Private Practice 8820404205 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Management Services, PLLC Physical Therapist CurrentSince May 18, 2022 Accepting new patients
Multicare Health System Physical Therapist CurrentSince Jan 22, 2021 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince May 18, 2022 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Jan 22, 2024 Accepting new patients
Multicare Health System CurrentSince Jan 22, 2021 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Jan 22, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900

15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

9521 Gravelly Lake Dr SW
Lakewood, WA 98499
Phone (253) 983-9395

19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991

451 SW Sedgwick Rd
Ste 310
Port Orchard, WA 98367
Phone (360) 874-8009

709 Cook Rd
Sedro Woolley, WA 98284
Phone (360) 873-8191

1804 West Union Ave
Ste 101
Tacoma, WA 98405
Phone (253) 370-7297

4704 Bridgeport Way W
University Place, WA 98466
Phone (253) 251-2250

Organizations & group practices 8

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": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1427667054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 BERKELEY AVE",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666901",
            "telephone_number": "208-705-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9521 GRAVELLY LAKE DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991513",
            "telephone_number": "253-983-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDO",
        "first_name": "JANELL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61058245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.