Individual provider Active NPI

Kira Katrina Leek, DPT

  • Physical Therapist
  • Issaquah, WA
National Provider Identifier
1659847648
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60894478 Issued in WA
Practice address
730 NW Gilman Blvd Ste C108
Issaquah, WA 98027-5326
Phone
(425) 391-6794
Fax
(425) 391-1525
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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 PT60894478 WA Primary

Addresses

Primary practice location

730 NW Gilman Blvd Ste C108
Issaquah, WA 98027-5326

Mailing address

730 NW Gilman Blvd Ste C108
Issaquah, WA 98027-5326
Phone (425) 391-6794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190321001012 WA Practitioner - Physical Therapist in Private Practice 0840530226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balance Physical Therapy Inc PSGroup PAC ID 2567455470, 6 clinicians

Practice addresses (Care Compare)

730 NW Gilman Blvd
Suite C108
Issaquah, WA 98027-5326
Phone (425) 391-6794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Physical Therapy Inc, P.S. Physical Therapist CurrentSince Sep 25, 2018 Accepting new patients

Locations

730 NW Gilman Blvd
Ste C108
Issaquah, WA 98027
Phone (425) 391-6794

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1659847648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 NW GILMAN BLVD STE C108",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275326",
            "telephone_number": "425-391-6794",
            "fax_number": "425-391-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 NW GILMAN BLVD STE C108",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275326",
            "telephone_number": "425-391-6794",
            "fax_number": "425-391-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEK",
        "first_name": "KIRA",
        "middle_name": "KATRINA",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60894478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.