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

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.

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 (285 clinicians)

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 (group)
Quality
88.06
Improvement activities
40
Cost
76.31

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy, LLC Physical Therapist Current
since Sep 6, 2023
Accepting new patients
Apple Physical Therapy LLC Physical Therapist Current
since Sep 6, 2023
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)CodeLicenseStatePrimary
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 Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 26, 2023.

{
    "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

All providers in Seattle, WA · Physical Therapist in Washington

Sources for this page

Verify at the official NPI Registry.