Individual provider Active NPI

Nathan Granum Swanson-Dinsmore

  • Physical Therapist
  • Kirkland, WA
National Provider Identifier
1457225666
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT70019035 Issued in WA
Practice address
6710 108TH Ave NE
Kirkland, WA 98033-7050
Phone
(425) 979-7445
NPI assigned
Oct 1, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 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 PT70019035 WA Primary

Addresses

Primary practice location

6710 108TH Ave NE
Kirkland, WA 98033-7050

Mailing address

6710 108TH Ave NE
Kirkland, WA 98033-7050
Phone (425) 979-7445

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251120003558 WA Practitioner - Physical Therapist in Private Practice 9335631084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houghton Physical Therapy LLCGroup PAC ID 3577857903, 9 clinicians

Practice addresses (Care Compare)

6710 108TH Ave NE
Suite 100
Kirkland, WA 98033-7050
Phone (425) 979-7445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT70019035WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Houghton Physical Therapy LLC Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients

Locations

6710 108th Ave NE
Ste 100
Kirkland, WA 98033
Phone (206) 963-7499

6710 108th Ave NE
Kirkland, WA 98033
Phone (425) 979-7445

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1457225666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 108TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337050",
            "telephone_number": "425-979-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 108TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337050",
            "telephone_number": "425-979-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON-DINSMORE",
        "first_name": "NATHAN",
        "middle_name": "GRANUM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT70019035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.