Stephanie Tami Mei Lin Yanabu, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60161869 Issued in WA

Practice address

3925 159TH Ave NE
Redmond, WA 98052-6309

Phone

(425) 216-0550

Fax

(425) 216-0551

NPI assigned

Jul 14, 2010

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 identifiers 3

Other names 1

• Stephanie Tami Mei Lin Wong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1528371952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 159TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980526309",
            "telephone_number": "425-216-0550",
            "fax_number": "425-216-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANABU",
        "first_name": "STEPHANIE",
        "middle_name": "TAMI MEI LIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60161869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528371952",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00964318",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR AND INDUSTRIES",
            "identifier": "0291642",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "WONG",
            "middle_name": "TAMI MEI LIN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lasley Xiong, DO
• Zenghua Xu, MA
• Xy Health Group LLC (Swiss Acupuncture)
• Garrett Paul Yam, MD
• John I. Yam
• Keira Le Yang, DMD
• Yangchen Inc (Cpapman.com)
• James M Yasui, RPH
• Lydia K Yau, PH
• Catherine Yeh, DMD

• Physical Therapist in Redmond, WA
• Providers in Redmond, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.