Active NPI
Meryl Mazepa Dempsey, PT
- Physical Medicine & Rehabilitation Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 61217509
- Practice address
- 4501 Interlake Ave N
Seattle, WA 98103-6700 - Phone
- (206) 905-8575
- NPI assigned
- Sep 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Medicine & Rehabilitation Physician | 208100000X | 61217509 | WA | Primary |
Addresses
Primary practice location
4501 Interlake Ave N
Seattle, WA 98103-6700
Mailing address
5412 S Othello St
Seattle, WA 98118-4239
Phone (206) 643-3299
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | unsure |
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4501 Interlake Ave N
Suite 8
Seattle, WA 98103-6700
Phone (206) 905-8575
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.84
- Improvement activities
- 40
- Cost
- 70.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61217509 | WA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Velocity Physiotherapy LLC | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Washington Luna Care Physical Therapy LLC | Current | Accepting new patients | |
| King County Public Hospital District No. 2 | Current | Accepting new patients |
Locations
13555 SE 36th St
Ste 100
Bellevue, WA 98006
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369
4501 Interlake Ave N
Ste 8
Seattle, WA 98103
Phone (206) 905-8575
1037 NE 65th St
Seattle, WA 98115
Phone (206) 395-9301
Organizations & group practices 5
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
- Seattle, WA
- NPI 1295981439
-
dba Booth Gardner Parkinsons Care Center
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Physical Therapist
- Bellevue, WA
- NPI 1346808052
-
dba EvergreenHealth at Home Physical Therapy
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630800000000",
"number": "1447928213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5412 S OTHELLO ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981184239",
"telephone_number": "206-643-3299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 INTERLAKE AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981036700",
"telephone_number": "206-905-8575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMPSEY",
"first_name": "MERYL",
"middle_name": "MAZEPA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-05",
"last_updated": "2021-09-05",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WA",
"license": "61217509",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "unsure",
"affiliation": "N",
"endpointDescription": "N/A",
"address_1": "4501 Interlake Ave N",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981036700",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Sep 5, 2021; 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.