NPIMap

Organization Active NPI

En Pointe Physical Therapy, PLLC

  • Orthopedic Physical Therapist
  • Redmond, WA
National Provider Identifier
1467967737
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT00010655 Issued in WA
Legal business name
EN POINTE PHYSICAL THERAPY, PLLC
Practice address
15446 Bel Red Rd Ste B20
Redmond, WA 98052-5526
Phone
(425) 869-2777
Fax
(425) 869-0167
NPI assigned
Dec 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Authorized official

Name
Jayme Lynn Bruett, DPTNPI 1285854661
Title
Physical Therapist
Phone
(425) 869-2777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT00010655 WA Primary

Addresses

Primary practice location

15446 Bel Red Rd Ste B20
Redmond, WA 98052-5526

Mailing address

111 Tumwater Blvd SE Ste 113
Tumwater, WA 98501-6422
Phone (360) 528-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180109001654 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4880953322 Receives reassigned benefits from 4 practitioners
Practice locations: Redmond, WA

National Provider Directory

National Provider Directory

Locations

15446 Bel Red Rd
Ste B10
Redmond, WA 98052
Phone (360) 528-3300

111 Tumwater Blvd SE
Ste 113
Tumwater, WA 98501
Phone (360) 528-3300

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1467967737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 TUMWATER BLVD SE STE 113",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016422",
            "telephone_number": "360-528-3300",
            "fax_number": "360-489-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15446 BEL RED RD STE B20",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525526",
            "telephone_number": "425-869-2777",
            "fax_number": "425-869-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EN POINTE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "BRUETT",
        "authorized_official_first_name": "JAYME",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "425-869-2777",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00010655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.