Active NPI
Kelly A Frick, MSPT
- Physical Therapist
- Arlington, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00006526
- Practice address
- 16404 Smokey Point Blvd Ste 101
Arlington, WA 98223-8417 - Phone
- (360) 658-8100
- Fax
- (360) 658-0508
- NPI assigned
- Feb 6, 2007
- 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 | PT00006526 | WA | Primary |
Addresses
Primary practice location
16404 Smokey Point Blvd Ste 101
Arlington, WA 98223-8417
Mailing address
16404 Smokey Point Blvd Ste 101
Arlington, WA 98223-8417
Phone (360) 658-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8335358 | Medicaid | WA |
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)
Bellevue, WA 98006
Phone (866) 525-3175
11545 15TH Ave NE
Suite 205
Seattle, WA 98125-6358
Phone (206) 417-1298
12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-2560
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00006526 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Sports and Spine Physical Therapy Lake City PS | Physical Therapist | Current | Accepting new patients |
Locations
11545 15th Ave NE
Ste 205
Seattle, WA 98125
Phone (206) 364-2010
Organizations & group practices 4
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
- Seattle, WA
- NPI 1184779365
-
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Physical Therapist
- Bellevue, WA
- NPI 1346808052
-
- Family Medicine Physician
- Seattle, WA
- NPI 1831139724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497895072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16404 SMOKEY POINT BLVD STE 101",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982238417",
"telephone_number": "360-658-8100",
"fax_number": "360-658-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16404 SMOKEY POINT BLVD STE 101",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982238417",
"telephone_number": "360-658-8100",
"fax_number": "360-658-0508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRICK",
"first_name": "KELLY",
"middle_name": "A",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00006526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8335358",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.