Individual provider Active NPI

Erin Leigh Konkle, DPT

  • Physical Therapist
  • Kirkland, WA
National Provider Identifier
1548755218
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
12911 120TH Ave NE Ste F120
Kirkland, WA 98034-3025
Phone
(425) 305-2940
Fax
(425) 245-1019
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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 WA Primary

Addresses

Primary practice location

12911 120TH Ave NE Ste F120
Kirkland, WA 98034-3025

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (425) 582-5526

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181010003062 WA Practitioner - Physical Therapist in Private Practice 3476805938 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redmond Physical Therapy IncGroup PAC ID 5496943516, 18 clinicians

Practice addresses (Care Compare)

12911 120TH Ave NE
Suite F120
Kirkland, WA 98034-3025
Phone (425) 881-3001

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.84
Improvement activities
40
Cost
70.51

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No 2 Current Accepting new patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Apr 22, 2022 Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 16, 2020 Accepting new patients
Redmond Physical Therapy, Inc. Physical Therapist CurrentSince Sep 21, 2020 Accepting new patients

Locations

13555 SE 36th St
Ste 100
Bellevue, WA 98006

12911 120th Ave NE
Ste F120
Kirkland, WA 98034
Phone (425) 305-2940

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

16261 Redmond Way
#100
Redmond, WA 98052
Phone (425) 881-3001

Organizations & group practices 4

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": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1548755218",
    "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": "425-582-5526",
            "fax_number": "425-245-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE F120",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343025",
            "telephone_number": "425-305-2940",
            "fax_number": "425-245-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONKLE",
        "first_name": "ERIN",
        "middle_name": "LEIGH",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.