Individual provider Active NPI

Ashlyn Nicole Jaeger, PT, DPT

  • Physical Therapist
  • Bellevue, WA
National Provider Identifier
1649097866
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61551158 Issued in WA
Practice address
5150 Village Park Dr SE
Bellevue, WA 98006-6652
Phone
(425) 657-0620
NPI assigned
Sep 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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 PT61551158 WA Primary

Addresses

Primary practice location

5150 Village Park Dr SE
Bellevue, WA 98006-6652

Mailing address

5150 Village Park Dr SE
Bellevue, WA 98006-6652

Other names 1

  • Ashlyn Nicole Morrison Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT61551158WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Center for Autism, LLC CurrentSince Sep 23, 2024 Accepting new patients
Ican America PastSince Sep 23, 2024 Accepting new patients
Kindering Center Past Accepting new patients

Locations

5150 Village Park Dr SE
Bellevue, WA 98006
Phone (425) 502-8245

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1649097866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 VILLAGE PARK DR SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980066652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 VILLAGE PARK DR SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980066652",
            "telephone_number": "425-657-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "ASHLYN",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61551158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLYN",
            "last_name": "MORRISON",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.