Chiayo Gilbert, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PU61313284 Issued in WA

Practice address

707 S Park St
Deer Park, WA 99006-7025

Phone

(509) 276-8811

Fax

(866) 629-4801

NPI assigned

Jul 1, 2022

Last updated

Jul 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Chiayo Koffman Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Royter Physical Therapy IncGroup PAC ID 0345249447, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Royter Physical Therapy Inc

  • Physical Therapist
  • Spokane, WA
  • NPI 1326151630
  Medicare reassignment Care Compare group NPD
• Deer Park Physical Therapy Inc

  • Physical Therapist
  • Deer Park, WA
  • NPI 1306903182
  Medicare reassignment NPD
• Revive Therapeutic Massage

  • Massage Therapist
  • Deer Park, WA
  • NPI 1427766328
  NPD

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1518690189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S PARK ST",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990067025",
            "telephone_number": "509-276-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S PARK ST",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990067025",
            "telephone_number": "509-276-8811",
            "fax_number": "866-629-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "CHIAYO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PU61313284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.deerparkphysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "clinic website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Deer Park",
            "address_1": "707 S Park St",
            "city": "Deer Park",
            "state": "WA",
            "country_code": "US",
            "postal_code": "990067025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHIAYO",
            "last_name": "KOFFMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Austin James Friedly, STUDENT PHARMACIST
• Future Vision Partners, Inc (Deer Park Vision)
• Christina L Gerhardt, MC61233693
• Danika Giard, RDH
• Brenda R Gilbert, MS, CCC-SLP
• Byron Corrie Glenn, NURSE PRACTITIONER
• Brandi Gore, LMP
• Basil Manly Griffin III, M.D.
• Craig Robert Gustafson
• Krystal Anne Guyette

• Physical Therapist in Deer Park, WA
• Providers in Deer Park, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.