Christina Diana Phillips, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60660691 Issued in WA

Practice address

9762 NE 119TH Way
Kirkland, WA 98034

Phone

(425) 823-8119

Fax

(425) 823-8282

NPI assigned

Nov 10, 2016

Reactivated

Apr 5, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Empowerme Rehabilitation Wa PCGroup PAC ID 4284015330, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Empowerme Rehabilitation Wa, PC

  • Multi-Specialty Clinic/Center
  • Issaquah, WA
  • NPI 1821748112

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Innova Physical Therapy LLC

  • Physical Therapist
  • Redmond, WA
  • NPI 1497154504
  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Bothell, WA
  • NPI 1114376563
  NPD (past)

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1639611312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD STE 300",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247736",
            "telephone_number": "503-443-6156",
            "fax_number": "502-363-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9762 NE 119TH WAY",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-823-8119",
            "fax_number": "425-823-8282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37624 SE Fury St",
            "address_2": "Suite C201",
            "address_purpose": "LOCATION",
            "city": "Snoqualmie",
            "state": "WA",
            "postal_code": "980659680",
            "country_code": "US",
            "telephone_number": "425-292-0223",
            "fax_number": "425-292-9225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8630 164th Ave NE",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "98052",
            "country_code": "US",
            "telephone_number": "425-658-4980",
            "fax_number": "425-658-4977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CHRISTINA",
        "middle_name": "DIANA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2018-12-18",
        "deactivation_date": "2017-10-17",
        "reactivation_date": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60660691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taryn Kelly Pfeifer, RN
• Jenny Pham
• John Pham
• Linhchi Pham, MD
• Terrence A Pheifer, M.D.
• Clifton Vincent Phillips, PA-C
• Terrence J Phillips, DPT
• Tiffany Phillips
• Dieu-Mai Pho, PHARMACIST
• Phyllis a. Ferguson Arnp MSN Inc PS

• Physical Therapist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.