Active NPI
Kathleen Glenesk Vega, PT, DPT
- Physical Therapist
- Graham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 21707 103Rd Avenue CT E Ste B202
Graham, WA 98338-8308 - Phone
- (253) 655-5841
- NPI assigned
- Sep 18, 2012
- Last updated
- Sep 11, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
21707 103Rd Avenue CT E Ste B202
Graham, WA 98338-8308
Mailing address
21707 103Rd Avenue CT E Ste B202
Graham, WA 98338-8308
Phone (253) 655-5841
Other practice location 1
900 Washington Rd
West Point, NY 10996-1109
Phone (845) 938-3067
Other names 1
- Kathleen Thompson Glenesk
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19910 S Prairie Rd E
Bonney Lake, WA 98391-7901
Phone (253) 750-5997
5701 N 26TH St
Tacoma, WA 98407-2408
Phone (253) 507-7450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Physical Therapy Group, LLC | Current | Accepting new patients | |
| Therapydia of Washington PC | Physical Therapist | Current | Accepting new patients |
Locations
21707 103rd Avenue Ct E
Ste B202
Graham, WA 98338
Phone (253) 655-5841
9909 224th St E
Unit 100B
Graham, WA 98338
Phone (253) 780-4965
223 140th St S
Tacoma, WA 98444
Phone (253) 531-5645
223 140th St S
Ste 700
Tacoma, WA 98444
Phone (253) 531-5645
5701 N 26th St
Tacoma, WA 98407
Phone (253) 507-7450
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Tacoma, WA
- NPI 1821256298
-
- Physical Therapist
- Vancouver, WA
- NPI 1902643992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1437409471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21707 103RD AVENUE CT E STE B202",
"city": "GRAHAM",
"state": "WA",
"postal_code": "983388308",
"telephone_number": "253-655-5841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21707 103RD AVENUE CT E STE B202",
"city": "GRAHAM",
"state": "WA",
"postal_code": "983388308",
"telephone_number": "253-655-5841"
}
],
"practiceLocations": [
{
"address_1": "900 Washington Rd",
"address_purpose": "LOCATION",
"city": "West Point",
"state": "NY",
"postal_code": "109961109",
"country_code": "US",
"telephone_number": "845-938-3067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VEGA",
"first_name": "KATHLEEN",
"middle_name": "GLENESK",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-18",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "GLENESK",
"middle_name": "THOMPSON",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Graham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.