Individual provider Active NPI

Dravya Mistry, P.T.

  • Physical Therapist
  • Issaquah, WA
National Provider Identifier
1699372755
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT70009882 Issued in WA
Practice address
405 NW Gilman Blvd Ste 200
Issaquah, WA 98027-2470
Phone
(425) 392-6804
NPI assigned
Oct 1, 2020
Reactivated
Sep 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 046048 NY
Physical Therapist 225100000X PT40385 FL
Physical Therapist 225100000X 15786 TN
Physical Therapist 225100000X PT70009882 WA Primary

Addresses

Primary practice location

405 NW Gilman Blvd Ste 200
Issaquah, WA 98027-2470

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

2130 E Bay Dr
Largo, FL 33771-2323
Phone (727) 587-0582

Other practice location 2

101 International Dr Ste 102
Franklin, TN 37067-1762
Phone (615) 224-9818

Other practice location 3

3310 Aspen Grove Dr Ste 202
Franklin, TN 37067-2852
Phone (615) 224-9810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250205003019 TN Practitioner - Physical Therapist in Private Practice 1052723814 Reassigns benefits to 3 organizations
I20250707002595 WA Practitioner - Physical Therapist in Private Practice 1052723814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians

Practice addresses (Care Compare)

405 NW Gilman Blvd
Suite 200
Issaquah, WA 98027-2470
Phone (425) 392-6804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT40385FLMDPhysical Therapist
046048NYMDPhysical Therapist
15786TNMDPhysical Therapist
PT70009882WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Dec 11, 2024 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Dec 11, 2024 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Dec 11, 2024 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jun 30, 2025 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist Current Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jun 30, 2025 Accepting new patients
Agilitas USA Inc CurrentSince Dec 11, 2024 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Dec 11, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist Current Accepting new patients
Cora Health Services Inc PastSince Sep 1, 2023 Accepting new patients
Cora Health Services, Inc PastSince Sep 1, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

101 International Dr
Ste 102
Franklin, TN 37067
Phone (615) 224-9818

3310 Aspen Grove Dr
Ste 202
Franklin, TN 37067
Phone (615) 224-9810

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

405 NW Gilman Blvd
Ste 200
Issaquah, WA 98027
Phone (425) 392-6804

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1699372755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NW GILMAN BLVD STE 200",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272470",
            "telephone_number": "425-392-6804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 E Bay Dr",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337712323",
            "country_code": "US",
            "telephone_number": "727-587-0582",
            "fax_number": "727-587-0583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 International Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370671762",
            "country_code": "US",
            "telephone_number": "615-224-9818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3310 Aspen Grove Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370672852",
            "country_code": "US",
            "telephone_number": "615-224-9810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISTRY",
        "first_name": "DRAVYA",
        "name_prefix": "Miss",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "deactivation_date": "2023-08-24",
        "reactivation_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046048",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40385",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15786",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT70009882",
            "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 Jun 30, 2025; 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.