Brooke Kelsey Ayers
Individual provider Active NPI Physical Therapist · Seattle, WA
NPI 1497532832 · NPPES record last updated Sep 26, 2023
Key facts
- NPI
- 1497532832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 1107 NE 45TH St Ste 100
Seattle, WA 98105-4631 - Phone
- (206) 545-7844
- Fax
- (206) 545-7843
- NPI assigned
- Sep 11, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apple Physical Therapy LLC
Practice addresses (Care Compare)
13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 582-5524
4220 Hoyt Ave
Everett, WA 98203-2317
Phone (425) 258-5330
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 88.06
- Improvement activities
- 40
- Cost
- 76.31
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231020002023 | WA | Practitioner - Physical Therapist in Private Practice | 4183070592 |
Reassigns benefits to 1 organization Practice locations: Seattle, WA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Apple Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330
13020 Meridian Ave S
Ste 300
Everett, WA 98208
Phone (425) 582-5524
32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852
130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300
1107 NE 45th St
Ste 100
Seattle, WA 98105
Phone (206) 545-7844
1570 W Armory Way
Ste 103
Seattle, WA 98119
Phone (206) 494-0459
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
1107 NE 45TH St Ste 100
Seattle, WA 98105-4631
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
17739 22nd Ave NE
Shoreline, WA 98155-5205
Phone (425) 780-1222
Other names
- Brooke Kelsey Kingma
NPI Registry JSON
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1497532832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 NE 45TH ST STE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981054631",
"telephone_number": "206-545-7844",
"fax_number": "206-545-7843"
}
],
"practiceLocations": [
{
"address_1": "17739 22nd Ave NE",
"address_purpose": "LOCATION",
"city": "Shoreline",
"state": "WA",
"postal_code": "981555205",
"country_code": "US",
"telephone_number": "425-780-1222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AYERS",
"first_name": "BROOKE",
"middle_name": "KELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "KINGMA",
"middle_name": "KELSEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Seattle, WA
- Ralph W. Aye
- Emmanuel Timarwa Ayebale
- Kedest Ayele
- Nacala Ayele
- April Ayers
- Monica Ayers
- Alfred Afam Ayika
- Karla Elizabeth Aylen
- Alana Aylward
- Sunny Skies Ayotte
All providers in Seattle, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.