Active NPI
Kayla Wartinger, PT, DPT
- Physical Therapist
- Lake Stevens, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60566694
- Practice address
- 1819 S Lake Stevens Rd Unit E
Lake Stevens, WA 98258-2060 - Phone
- (425) 334-1122
- Fax
- (425) 334-1188
- NPI assigned
- Nov 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60566694 | WA | Primary |
Addresses
Primary practice location
1819 S Lake Stevens Rd Unit E
Lake Stevens, WA 98258-2060
Mailing address
9514 4TH St NE Unit 101
Lake Stevens, WA 98258-1937
Phone (425) 397-2327
Other practice location 1
6363 N State Highway 161
Suite 525
Irving, TX 75038-2269
Phone (888) 993-4599
Other practice location 2
1409 Avenue D
Snohomish, WA 98290-1713
Phone (360) 453-7933
Other names 1
- Kayla Gaston
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1409 Ave D
Snohomish, WA 98290-1713
Phone (360) 453-7933
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60566694 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSPT, Inc. | Physical Therapist | Current | Accepting new patients |
| NSPT, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
231 91st Ave NE
#160
Lake Stevens, WA 98258
Phone (425) 334-1122
1819 S Lake Stevens Rd
Unit E
Lake Stevens, WA 98258
Phone (425) 334-1122
1409 Avenue D
Snohomish, WA 98290
Phone (360) 453-7933
27500 102nd Ave NW
Ste 1
Stanwood, WA 98292
Phone (360) 629-7528
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": "1447718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1538533385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9514 4TH ST NE UNIT 101",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982581937",
"telephone_number": "425-397-2327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 S LAKE STEVENS RD UNIT E",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982582060",
"telephone_number": "425-334-1122",
"fax_number": "425-334-1188"
}
],
"practiceLocations": [
{
"address_1": "6363 N State Highway 161",
"address_2": "Suite 525",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750382269",
"country_code": "US",
"telephone_number": "888-993-4599",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1409 Avenue D",
"address_purpose": "LOCATION",
"city": "Snohomish",
"state": "WA",
"postal_code": "982901713",
"country_code": "US",
"telephone_number": "360-453-7933",
"fax_number": "360-453-7934",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARTINGER",
"first_name": "KAYLA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-17",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60566694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLA",
"last_name": "GASTON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lake Stevens, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.