Individual provider Active NPI

Padmapriya Indukuri, MHS, PT

  • Physical Therapist
  • Mountlake Terrace, WA
National Provider Identifier
1659256170
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60729224 Issued in WA
Practice address
6100 219TH St SW
Mountlake Terrace, WA 98043-2222
Phone
(206) 364-1484
NPI assigned
Aug 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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 PT60729224 WA Primary

Addresses

Primary practice location

6100 219TH St SW
Mountlake Terrace, WA 98043-2222

Mailing address

13501 58TH PL W
Edmonds, WA 98026-3321
Phone (317) 313-0258

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
PT60729224WAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1659256170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13501 58TH PL W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980263321",
            "telephone_number": "317-313-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 219TH ST SW",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432222",
            "telephone_number": "206-364-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDUKURI",
        "first_name": "PADMAPRIYA",
        "credential": "MHS, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60729224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.