Active NPI
Andrea Noel Knapp, PT
- Physical Therapist
- Normandy Park, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-00006313
- Practice address
- 17833 1St Ave S Ste a
Normandy Park, WA 98148-1713 - Phone
- (253) 330-8518
- Fax
- (253) 330-8519
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | PT-00006313 | WA | Primary |
Addresses
Primary practice location
17833 1St Ave S Ste a
Normandy Park, WA 98148-1713
Mailing address
1940 S Bonito Way Ste 190
Meridian, ID 83642-5618
Phone (208) 287-9420
Other names 1
- Andrea Noel Grande
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, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17833 1St Ave S
Suite a
Normandy Park, WA 98148-1713
Phone (253) 220-4099
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-00006313 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kintsugi Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Highline Physical Therapy Group | Physical Therapist | Current | Accepting new patients |
| Highline Physical Therapy Group | Physical Therapist | Current | Accepting new patients |
Locations
1940 S Bonito Way
Ste 190
Meridian, ID 83642
2965 E Tarpon Dr
Ste 150
Meridian, ID 83642
Phone 2082879420110
16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400
16259 Sylvester Rd SW
Ste 102
Burien, WA 98166
Phone (206) 242-5186
17833 1st Ave S
Ste A
Normandy Park, WA 98148
Phone (253) 220-4099
Organizations & group practices 3
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.
-
- Physical Therapist
- Normandy Park, WA
- NPI 1598300824
-
- Physical Therapist
- Burien, WA
- NPI 1477797991
-
- Physical Therapist
- Bonney Lake, WA
- NPI 1255147336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1467562447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 S BONITO WAY STE 190",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425618",
"telephone_number": "208-287-9420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17833 1ST AVE S STE A",
"city": "NORMANDY PARK",
"state": "WA",
"postal_code": "981481713",
"telephone_number": "253-330-8518",
"fax_number": "253-330-8519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNAPP",
"first_name": "ANDREA",
"middle_name": "NOEL",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT-00006313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "GRANDE",
"middle_name": "NOEL",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Normandy Park, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.