Individual provider Active NPI

Michelle Wyemura Parker, DPT

  • Physical Therapist
  • Bellevue, WA
National Provider Identifier
1508826397
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008732 Issued in WA
Practice address
3101 Northup Way Ste 101
Bellevue, WA 98004-1469
Phone
(425) 462-5006
Fax
(425) 462-5019
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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 PT00008732 WA Primary

Addresses

Primary practice location

3101 Northup Way Ste 101
Bellevue, WA 98004-1469

Mailing address

510 8TH Ave NE Ste 320
Issaquah, WA 98029-5436
Phone (425) 507-0733

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623000785 WA Practitioner - Physical Therapist in Private Practice 3476538380 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proliance Surgeons Inc P SGroup PAC ID 8527972900, 395 clinicians
Therapy Management Services PLLCGroup PAC ID 0143500983, 107 clinicians

Practice addresses (Care Compare)

1200 112TH Ave NE
Suite C260
Bellevue, WA 98004-3746
Phone (425) 462-5006

17528 Meridian E
Suite 205
Puyallup, WA 98375-6286
Phone (253) 256-4807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00008732WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Highline Physical Therapy Group Physical Therapist CurrentSince May 6, 2016 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince May 6, 2016 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Jul 3, 2017 Accepting new patients
Proliance Surgeons, Inc., P.S. Physical Therapist CurrentSince Oct 1, 2019 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
Proliance Surgeons, Inc., P.S. Physical Therapist Past Accepting new patients
Proliance Surgeons, Inc., P.S. Past Accepting new patients
Outpatient Physical Therapy & Sports Rehabilitation Inc PC Physical Therapist PastSince May 15, 2011 Accepting new patients
Washington Physical Therapy and Rehabilitation LLC Physical Therapist PastSince Dec 15, 2019 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Past Accepting new patients

Locations

11711 NE 12th St
Ste 3A
Bellevue, WA 98005
Phone (425) 454-1405

915 118th Ave SE
Ste 110
Bellevue, WA 98005
Phone (425) 243-6922

1200 112th Ave NE
Ste C260
Bellevue, WA 98004
Phone (425) 313-3055

3101 Northup Way
Ste 101
Bellevue, WA 98004
Phone (425) 462-5006

1299 156th Ave NE
Ste 125
Bellevue, WA 98007
Phone (206) 641-8481

814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900

275 SW 160th St
Ste 105
Burien, WA 98166
Phone (206) 513-2155

16259 Sylvester Rd SW
Ste 102
Burien, WA 98166
Phone (206) 242-5186

16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400

510 8th Ave NE
Ste 320
Issaquah, WA 98029

12910 Totem Lake Blvd NE
Ste 105
Kirkland, WA 98034
Phone (425) 823-8631

12911 120th Ave NE
Ste H220
Kirkland, WA 98034
Phone (425) 216-7075

19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991

400 Main Ave S
North Bend, WA 98045
Phone (425) 888-1156

17528 Meridian E
Ste 205
Puyallup, WA 98375
Phone (253) 256-4807

3801 5th St SE
Ste 220
Puyallup, WA 98374
Phone (253) 445-4258

1707 3rd St SE
Puyallup, WA 98372
Phone (253) 200-2355

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

2409 N 45th St
Seattle, WA 98103
Phone (206) 633-8100

906 NE 45th St
Seattle, WA 98105
Phone (206) 347-0414

1000 Dexter Ave N
Ste 320
Seattle, WA 98109
Phone (206) 486-3344

Organizations & group practices 11

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1508826397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 8TH AVE NE STE 320",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980295436",
            "telephone_number": "425-507-0733",
            "fax_number": "425-283-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 NORTHUP WAY STE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041469",
            "telephone_number": "425-462-5006",
            "fax_number": "425-462-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYEMURA PARKER",
        "first_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008732",
            "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 Feb 23, 2023; 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.