Organization Active NPI

Dexter Physical Therapy

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1609385947
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00008614 Issued in WA
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.