Active NPI
Miye Nakahara Fonseca, D PT
- Orthopedic Physical Therapist
- Redmond, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT 00010867
- Practice address
- 15600 Redmond Way NE
Suite 300
Redmond, WA 98052 - Phone
- (425) 883-9089
- Fax
- (425) 869-1355
- NPI assigned
- May 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT 32641 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | PT 00010867 | WA | Primary |
Addresses
Primary practice location
15600 Redmond Way NE
Suite 300
Redmond, WA 98052
Mailing address
15600 Redmond Way NE
Suite 300
Redmond, WA 98052
Phone (425) 883-9089
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, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
512 NE 81St St
Suite H
Vancouver, WA 98665-8134
Phone (360) 553-3782
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 32641 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Physical Therapy, LLC | Current | Accepting new patients | |
| Apple Physical Therapy LLC | Orthopedic | Current | Accepting new patients |
Locations
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330
32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852
130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300
512 NE 81st St
Ste H
Vancouver, WA 98665
Phone (360) 553-3782
Organizations & group practices 2
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.
-
- Physical Therapist
- Auburn, WA
- NPI 1902808470
-
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245369600000",
"number": "1659329464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15600 REDMOND WAY NE",
"address_2": "SUITE 300",
"city": "REDMOND",
"state": "WA",
"postal_code": "98052",
"telephone_number": "425-883-9089",
"fax_number": "425-869-1355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15600 REDMOND WAY NE",
"address_2": "SUITE 300",
"city": "REDMOND",
"state": "WA",
"postal_code": "98052",
"telephone_number": "425-883-9089",
"fax_number": "425-869-1355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONSECA",
"first_name": "MIYE",
"middle_name": "NAKAHARA",
"name_prefix": "Ms.",
"credential": "D PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2009-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT 32641",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WA",
"license": "PT 00010867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.