Individual provider Active NPI

Donna Frances Bajelis, PT

  • Physical Therapist
  • Twisp, WA
National Provider Identifier
1528325545
Registry record updated Apr 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1495 Issued in WA
Practice address
103 Ross Rd
Twisp, WA 98856-9607
Phone
(206) 713-9758
Fax
(206) 275-0458
NPI assigned
Apr 15, 2012
Last updated
Apr 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1495 WA Primary
Physical Therapist 225100000X 45391 MA
Physical Therapist 225100000X 002152 CT
Physical Therapist 225100000X 9338 CA

Addresses

Primary practice location

103 Ross Rd
Twisp, WA 98856-9607

Mailing address

103 Ross Rd
Twisp, WA 98856-9607
Phone (206) 713-9758

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9338CAMDPhysical Therapist
45391MAMDPhysical Therapist
1495WAMDPhysical Therapist
002152CTMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1334448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334448000000",
    "number": "1528325545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ROSS RD",
            "city": "TWISP",
            "state": "WA",
            "postal_code": "988569607",
            "telephone_number": "206-713-9758",
            "fax_number": "206-275-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ROSS RD",
            "city": "TWISP",
            "state": "WA",
            "postal_code": "988569607",
            "telephone_number": "206-713-9758",
            "fax_number": "206-275-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJELIS",
        "first_name": "DONNA",
        "middle_name": "FRANCES",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-15",
        "last_updated": "2012-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "1495",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "45391",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "002152",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "9338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twisp, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2012; 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.