Individual provider Active NPI

Adrienne L Diliberto, MPT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1508929381
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008101 Issued in WA
Practice address
5901 Roosevelt Way NE Ste B
Seattle, WA 98105-2763
Phone
(206) 320-5510
Fax
(206) 320-5522
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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 PT00008101 WA Primary

Addresses

Primary practice location

5901 Roosevelt Way NE Ste B
Seattle, WA 98105-2763

Mailing address

5901 Roosevelt Way NE Ste B
Seattle, WA 98105-2763
Phone (206) 755-3970

Other identifiers 2

IdentifierTypeStateIssuer
0197941OtherWALABOR AND INDUSTRIES
8427940MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050718000337 WA Practitioner - Physical Therapist in Private Practice 9436185824 Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7522 20TH Ave NE
Seattle, WA 98115-4402
Phone (206) 755-3970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00008101WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Physical Therapy Physical Therapist Current Accepting new patients
Catalyst Physical Therapy Physical Therapist PastSince Feb 8, 2020 Accepting new patients

Locations

5901 Roosevelt Way NE
Ste B
Seattle, WA 98105
Phone (206) 755-3970

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1508929381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 ROOSEVELT WAY NE STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052763",
            "telephone_number": "206-755-3970",
            "fax_number": "360-625-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 ROOSEVELT WAY NE STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052763",
            "telephone_number": "206-320-5510",
            "fax_number": "206-320-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILIBERTO",
        "first_name": "ADRIENNE",
        "middle_name": "L",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0197941",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8427940",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 19, 2018; 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.