Individual provider Active NPI

Cy Wayne Grimmett, DPT

  • Physical Therapist
  • Wenatchee, WA
National Provider Identifier
1447819669
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60930490 Issued in WA
Practice address
1544 N Wenatchee Ave Ste 200
Wenatchee, WA 98801-8413
Phone
(509) 421-7896
NPI assigned
Jun 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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 PT60930490 WA Primary

Addresses

Primary practice location

1544 N Wenatchee Ave Ste 200
Wenatchee, WA 98801-8413

Mailing address

1544 N Wenatchee Ave Ste 200
Wenatchee, WA 98801-8413
Phone (509) 421-7896

Other practice location 1

18 N Worthen St Ste 200
Wenatchee, WA 98801-6137
Phone (509) 665-3156

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL connect

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1447819669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 N WENATCHEE AVE STE 200",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988018413",
            "telephone_number": "509-421-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 N WENATCHEE AVE STE 200",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988018413",
            "telephone_number": "509-421-7896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 N Worthen St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988016137",
            "country_code": "US",
            "telephone_number": "509-665-3156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMMETT",
        "first_name": "CY",
        "middle_name": "WAYNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60930490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "connect",
            "affiliation": "N",
            "address_1": "18 N Worthen St Ste 200",
            "city": "Wenatchee",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988016137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.