Individual provider Active NPI

Katherine Zimmerman Tutko, DPT

  • Physical Therapist
  • Kent, WA
National Provider Identifier
1689013658
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
13106 SE 240TH St
Suite 200
Kent, WA 98031-9210
Phone
(253) 631-1933
NPI assigned
Jun 22, 2013
Last updated
Jun 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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 Primary

Addresses

Primary practice location

13106 SE 240TH St
Suite 200
Kent, WA 98031-9210

Mailing address

26837 Maple Valley Black Diamond Rd SE
Suite 200
Maple Valley, WA 98038-9917
Phone (425) 413-4427

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131212000002 WA Practitioner - Physical Therapist in Private Practice 1759518053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

26837 Maple Valley Black Diamond Rd
Suite 200
Maple Valley, WA 98038-9917
Phone (425) 413-4425

26837 Maple Valley Black Diamond Rd SE
Suite 200
Maple Valley, WA 98038-9917

8009 S 180TH St
Suite 112
Kent, WA 98032-1042
Phone (425) 226-7827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient Physical Therapy & Sports Rehabilitation Inc PC Physical Therapist CurrentSince Oct 16, 2013 Accepting new patients
Kent Easthill Physical Therapy PS Past Accepting new patients

Locations

13106 SE 240th St
Ste 103
Kent, WA 98031
Phone (253) 631-1933

13106 SE 240th St
Ste 200
Kent, WA 98031
Phone (253) 631-1933

8009 S 180th St
Ste 112
Kent, WA 98032
Phone (253) 833-8766

26837 Maple Valley Black Diamond Rd SE
Ste 200
Maple Valley, WA 98038
Phone (425) 413-4425

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, 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": "1371859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1689013658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26837 MAPLE VALLEY BLACK DIAMOND RD SE",
            "address_2": "SUITE 200",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980389917",
            "telephone_number": "425-413-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13106 SE 240TH ST",
            "address_2": "SUITE 200",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980319210",
            "telephone_number": "253-631-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTKO",
        "first_name": "KATHERINE",
        "middle_name": "ZIMMERMAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-22",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.