Individual provider Active NPI

Ariana Grunert, DPT

  • Physical Medicine & Rehabilitation Physician
  • Bellevue, WA
National Provider Identifier
1467238147
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
61457966 Issued in WA
Practice address
1975 112TH Ave NE
Bellevue, WA 98004-2942
Phone
(425) 450-9801
NPI assigned
Sep 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 61457966 WA Primary

Addresses

Primary practice location

1975 112TH Ave NE
Bellevue, WA 98004-2942

Mailing address

1975 112TH Ave NE
Bellevue, WA 98004-2942

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231020001721 WA Practitioner - Physical Therapist in Private Practice 0042666448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Washington School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellevue Sports and Spine Physical Therapy P S.Group PAC ID 8123910379, 5 clinicians
Manual Therapy International Professional Services PLLCGroup PAC ID 7012808041, 44 clinicians

Practice addresses (Care Compare)

1975 112TH Ave NE
Suite 100
Bellevue, WA 98004-2942
Phone (425) 450-9801

22500 SE 64TH PL
Suite 115
Issaquah, WA 98027-8128
Phone (425) 441-6075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61457966WAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellevue Sports & Spine Physical Therapy PS CurrentSince Sep 18, 2023 Accepting new patients

Locations

1975 112th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 450-9801

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1467238147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 112TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 112TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042942",
            "telephone_number": "425-450-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNERT",
        "first_name": "ARIANA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "61457966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.