Individual provider Active NPI

Danika Tai-Ziemer Kennedy, DPT

  • Physical Therapist
  • Mukilteo, WA
National Provider Identifier
1629741822
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
11700 Mukilteo Speedway Ste 503
Mukilteo, WA 98275-5444
Phone
(425) 349-9692
NPI assigned
Jul 26, 2021
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 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

11700 Mukilteo Speedway Ste 503
Mukilteo, WA 98275-5444

Mailing address

800 NE 67TH St Apt 317
Seattle, WA 98115-5861
Phone (949) 422-9813

Other names 1

  • Danika Tai Ziemer Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211006002951 WA Practitioner - Physical Therapist in Private Practice 7810395795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upward Physical Therapy and Wellness LLCGroup PAC ID 5092133678, 8 clinicians

Practice addresses (Care Compare)

6007 12TH Ave S
Seattle, WA 98108-2762
Phone (206) 580-3670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upward Physical Therapy and Wellness LLC CurrentSince Jul 19, 2024 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Aug 17, 2021 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Aug 17, 2021 Accepting new patients

Locations

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

11700 Mukilteo Speedway
Ste 503
Mukilteo, WA 98275
Phone (425) 349-9692

6007 12th Ave S
Seattle, WA 98108
Phone (206) 580-3670

Organizations & group practices 3

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": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1629741822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NE 67TH ST APT 317",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155861",
            "telephone_number": "949-422-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 MUKILTEO SPEEDWAY STE 503",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755444",
            "telephone_number": "425-349-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "DANIKA",
        "middle_name": "TAI-ZIEMER",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIKA",
            "last_name": "ZIEMER",
            "middle_name": "TAI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mukilteo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.