Individual provider Active NPI

Kim A Schuyler White, PT

  • Physical Therapist
  • Renton, WA
National Provider Identifier
1457428526
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00003929 Issued in WA
Practice address
14410 SE Petrovitsky Rd
Ste 202
Renton, WA 98058-8900
Phone
(425) 272-0252
Fax
(425) 272-0291
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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 PT00003929 WA Primary

Addresses

Primary practice location

14410 SE Petrovitsky Rd
Ste 202
Renton, WA 98058-8900

Mailing address

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224-7736
Phone (800) 219-8835

Other identifiers 6

IdentifierTypeStateIssuer
500669275MedicaidOR
1457428526MedicaidWA
P01361144OtherWARR MEDICARE
152682OtherWADEPT OF L & I
1350SCOtherWAREGENCE BS
P01398088OtherWARR MEDICARE PTAN

Other names 1

  • Ms. Kim A Schuyler Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070703000651 WA Practitioner - Physical Therapist in Private Practice 0840390829 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Luna Care Physical Therapy LLCGroup PAC ID 7416283817, 161 clinicians
King County Public Hospital District No 2Group PAC ID 7618880097, 586 clinicians

Practice addresses (Care Compare)

Bellevue, WA 98006
Phone (866) 525-3175

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-2560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No 2 Current Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Dec 3, 2018 Accepting new patients
Multicare Health System CurrentSince Jan 13, 2021 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Aug 11, 2015 Accepting new patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Oct 19, 2024 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Aug 11, 2015 Accepting new patients
Multicare Health System CurrentSince Jan 13, 2021 Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jun 24, 2024 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Dec 3, 2018 Accepting new patients
Multicare Health System Current Accepting new patients
Pain Science Physical Therapy Physical Therapist PastSince Sep 1, 2016 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

13555 SE 36th St
Ste 100
Bellevue, WA 98006

16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

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

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

17650 140th Ave SE
Ste B7
Renton, WA 98058
Phone (425) 430-0700

4820 NE 4th St
Ste A104
Renton, WA 98059
Phone (425) 207-7043

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1457428526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD",
            "address_2": "STE 300",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247736",
            "telephone_number": "800-219-8835",
            "fax_number": "503-639-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14410 SE PETROVITSKY RD",
            "address_2": "STE 202",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980588900",
            "telephone_number": "425-272-0252",
            "fax_number": "425-272-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUYLER WHITE",
        "first_name": "KIM",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500669275",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457428526",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01361144",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L & I",
            "identifier": "152682",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS",
            "identifier": "1350SC",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "P01398088",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "SCHUYLER",
            "middle_name": "A",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.