Individual provider Active NPI

Leah Kathryn Wilson, PT, CMC

  • Geriatric Physical Therapist
  • Seattle, WA
National Provider Identifier
1508016411
Registry record updated Sep 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT00009689 Issued in WA
Practice address
916 N 82ND St
Seattle, WA 98103-4322
Phone
(206) 428-1964
Fax
(206) 428-1964
NPI assigned
Sep 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT00009689 WA Primary

Addresses

Primary practice location

916 N 82ND St
Seattle, WA 98103-4322

Mailing address

916 N 82ND St
Seattle, WA 98103-4322
Phone (206) 428-1964

Other names 1

  • Ms. Leah Kathryn Wilson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Iatros, Inc Past Accepting new patients
Connectability Solutions LLC Geriatrics PastSince Feb 25, 2009 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1222473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222473600000",
    "number": "1508016411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 N 82ND ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034322",
            "telephone_number": "206-428-1964",
            "fax_number": "206-428-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 N 82ND ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034322",
            "telephone_number": "206-428-1964",
            "fax_number": "206-428-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LEAH",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "PT, CMC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-27",
        "last_updated": "2008-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "WA",
            "license": "PT00009689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "WILSON",
            "middle_name": "KATHRYN",
            "prefix": "MS.",
            "credential": "PT, CMC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.