Individual provider Active NPI

Vanessa Kopaniak

  • Physical Therapist
  • Kent, WA
National Provider Identifier
1598337156
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
19400 108TH Ave SE Ste 100
Kent, WA 98031-0108
Phone
(425) 917-9887
Fax
(253) 277-0739
NPI assigned
Jul 13, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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 NU Primary

Addresses

Primary practice location

19400 108TH Ave SE Ste 100
Kent, WA 98031-0108

Mailing address

11711 NE 12TH St Ste 3a
Bellevue, WA 98005-2461

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210827001434 WA Practitioner - Physical Therapist in Private Practice 3476958554 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Luna Care Physical Therapy LLCGroup PAC ID 7416283817, 161 clinicians
Fox Rehab PT Wa LLCGroup PAC ID 0941715056, 9 clinicians
Concierge Physical Therapists LLCGroup PAC ID 7719140052, 20 clinicians
Swedish Health ServicesGroup PAC ID 9537072814, 384 clinicians

Practice addresses (Care Compare)

Bellevue, WA 98006
Phone (866) 525-3175

Seattle, WA 98116
Phone (877) 407-3422

11200 SE 6TH St
Bellevue, WA 98004-6403
Phone (703) 302-0951

800 5TH Ave
Suite P100
Seattle, WA 98104-3176
Phone (206) 320-3351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Apr 26, 2023 Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Dec 17, 2021 Accepting new patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
Concierge Physical Therapists LLC Physical Therapist CurrentSince May 15, 2023 Accepting new patients
Swedish Health Services Physical Therapist CurrentSince Apr 26, 2023 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Swedish Health Services Current Accepting new patients

Locations

1030 15th St NW
Ste 246
Washington, DC 20005

11200 SE 6th St
Bellevue, WA 98004

13555 SE 36th St
Ste 100
Bellevue, WA 98006

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

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

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

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

800 5th Ave
Ste P100
Seattle, WA 98104
Phone (206) 320-2700

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1598337156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 NE 12TH ST STE 3A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19400 108TH AVE SE STE 100",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980310108",
            "telephone_number": "425-917-9887",
            "fax_number": "253-277-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPANIAK",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.