Active NPI
Dexter Physical Therapy
- Physical Therapist
- Seattle, WA
National Provider Identifier
1609385947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00008614
- Legal business name
- DEXTER PHYSICAL THERAPY
- Practice address
- 4758 23Rd Ave SW
Seattle, WA 98106-1314 - Phone
- (206) 491-7193
- NPI assigned
- Sep 28, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jody Dexter, PT
- Title
- Physical Therapist
- Phone
- (206) 491-7193
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 00008614 | WA | Primary |
Addresses
Primary practice location
4758 23Rd Ave SW
Seattle, WA 98106-1314
Mailing address
4758 23Rd Ave SW
Seattle, WA 98106-1314
Phone (206) 491-7193
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1609385947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4758 23RD AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981061314",
"telephone_number": "206-491-7193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4758 23RD AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981061314",
"telephone_number": "206-491-7193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEXTER PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-28",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "DEXTER",
"authorized_official_first_name": "JODY",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "206-491-7193",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "WA",
"license": "00008614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.