Active NPI
Susan R Kabeary, PT
- Physical Therapist
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00000970
- Practice address
- 11019 Canyon Rd E
Ste C
Puyallup, WA 98373-3001 - Phone
- (253) 286-3600
- Fax
- (253) 286-3444
- NPI assigned
- Aug 18, 2005
- Last updated
- Jul 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00000970 | WA | Primary |
Addresses
Primary practice location
11019 Canyon Rd E
Ste C
Puyallup, WA 98373-3001
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7734482 | Other | WA | AETNA |
| 8368995 | Medicaid | WA | |
| 192085 | Other | WA | DEPT OF L&I |
| 8939558 | Other | WA | CRIME VICTIMS |
| P00268495 | Other | WA | MEDICARE RAILROAD |
| 3824KA | Other | WA | REGENCE BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11019 Canyon Rd E
Suite C
Puyallup, WA 98373-3001
Phone (253) 286-3600
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 88.06
- Improvement activities
- 40
- Cost
- 76.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00000970 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Good Samaritan Community Healthcare | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
20821 Sr 410 E
Bonney Lake, WA 98391
Phone (253) 863-7510
32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852
21806 103rd Avenue Ct E
Ste 103
Graham, WA 98338
Phone (253) 847-3700
130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300
5605 100th St SW
Ste B
Lakewood, WA 98499
Phone (253) 284-9800
11019 Canyon Rd E
Ste C
Puyallup, WA 98373
Phone (253) 286-3600
15614 Meridian E
Ste 400
Puyallup, WA 98375
Phone (253) 840-5511
16515 Meridian E
Ste 200B
Puyallup, WA 98375
Phone (253) 840-3300
3912 10th St SE
#101
Puyallup, WA 98374
Phone (253) 848-4700
11112 Pacific Ave S
Tacoma, WA 98444
Phone (253) 537-1103
15703 Pacific Ave S
#B
Tacoma, WA 98444
Phone (253) 531-4100
3315 S 23rd St
Ste 210
Tacoma, WA 98405
Phone (253) 572-8684
4703 Pacific Hwy E
#B
Tacoma, WA 98424
Phone (253) 926-8202
3816 Bridgeport Way W
University Place, WA 98466
Phone (253) 203-3996
Organizations & group practices 4
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.
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Physical Therapist
-
dba Good Samaritan Clinics
- Pain Medicine (Anesthesiology) Physician
- Puyallup, WA
- NPI 1437102399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436486400000",
"number": "1649262304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11019 CANYON RD E",
"address_2": "STE C",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983733001",
"telephone_number": "253-286-3600",
"fax_number": "253-286-3444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABEARY",
"first_name": "SUSAN",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2015-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00000970",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7734482",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8368995",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF L&I",
"identifier": "192085",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8939558",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00268495",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BS",
"identifier": "3824KA",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
- Vicki Jeanette Just-Schaefer, LMT
- K. a. Maulding DDS, P.S.
- Kaanapali Beach, LLC (Puyallup Post Acute)
- Amanda M Kaare, OTR/L
- Mannix Kalala Kabangu, SA-C
- Thomas M Kabeary, MSM,PT,BA
- Patricia Gathoni Kabochi
- John Kagwe
- Kaiser Foundation Health Plan of Washington (Kaiser Permanente Puyallup Pharmacy)
- Kaiser Foundation Health Plan of Washington (Puyallup Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.