Individual provider Active NPI

Kimber Leigh Dines

  • Physical Therapist
  • Bellevue, WA
National Provider Identifier
1487743456
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00003496 Issued in WA
Practice address
4 Lake Bellevue Dr Apt 211
Bellevue, WA 98005-2432
Phone
(408) 910-8993
Fax
(425) 968-1254
NPI assigned
Oct 11, 2006
Last updated
Oct 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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 PT00003496 WA Primary

Addresses

Primary practice location

4 Lake Bellevue Dr Apt 211
Bellevue, WA 98005-2432

Mailing address

4 Lake Bellevue Dr Apt 211
Bellevue, WA 98005-2432
Phone (408) 910-8993

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130604000449 WA Practitioner - Physical Therapist in Private Practice 4587802400 Reassigns benefits to 4 organizations
Practice locations: Woodinville, WA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Luna Care Physical Therapy LLCGroup PAC ID 7416283817, 161 clinicians
Fox Rehab PT Wa LLCGroup PAC ID 0941715056, 9 clinicians
Swedish Health ServicesGroup PAC ID 9537072814, 384 clinicians

Practice addresses (Care Compare)

Bellevue, WA 98006
Phone (866) 525-3175

Seattle, WA 98116
Phone (877) 407-3422

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

800 5TH Ave
Suite P100
Seattle, WA 98104-3176
Phone (206) 320-3351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Apr 5, 2023 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 20, 2021 Accepting new patients
Swedish Health Services Current Accepting new patients
Swedish Health Services Physical Therapist CurrentSince Jan 27, 2023 Accepting new patients
Swedish Health Services CurrentSince Jan 27, 2023 Accepting new patients

Locations

13555 SE 36th St
Ste 100
Bellevue, WA 98006

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

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

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

800 5th Ave
Ste P100
Seattle, WA 98104
Phone (206) 320-2700

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1487743456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LAKE BELLEVUE DR APT 211",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052432",
            "telephone_number": "408-910-8993",
            "fax_number": "425-968-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LAKE BELLEVUE DR APT 211",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052432",
            "telephone_number": "408-910-8993",
            "fax_number": "425-968-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINES",
        "first_name": "KIMBER",
        "middle_name": "LEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003496",
            "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 Oct 10, 2012; 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.