Active NPI
Kasey L Cottrill, DPT
- Physical Therapist
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61062460
- Practice address
- 11901 NE Village Plaza
Suite 261
Kirkland, WA 98034-5089 - Phone
- (425) 814-2800
- Fax
- (425) 823-0882
- NPI assigned
- Aug 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT61062460 | WA | Primary |
Addresses
Primary practice location
11901 NE Village Plaza
Suite 261
Kirkland, WA 98034-5089
Mailing address
15 SW Everett Mall Way Ste G
Everett, WA 98204-2715
Phone (425) 355-5222
Other practice location 1
2014 E Madison St Ste 100
Seattle, WA 98122-2965
Phone (206) 726-9595
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kirkland@thinkvida.com | Direct |
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2014 E Madison St
Suite 100
Seattle, WA 98122-2965
Phone (206) 726-9551
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Health Consulting, LLC | Single Specialty | Current | Accepting new patients |
| Functional Health Consulting, LLC | Current | Accepting new patients | |
| Functional Health Consulting, LLC | Physical Therapist | Current | Accepting new patients |
Locations
15 SW Everett Mall Way
Ste G
Everett, WA 98204
Phone (425) 355-5222
11901 NE Village Plz
Ste 261
Kirkland, WA 98034
Phone (425) 814-2800
2014 E Madison St
Ste 100
Seattle, WA 98122
Phone (206) 726-9551
Organizations & group practices 3
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.
-
- Sports Physician Chiropractor
- Seattle, WA
- NPI 1871801522
Single Specialty
-
- Rehabilitation Chiropractor
- Bellevue, WA
- NPI 1366991572
Physical Therapist
-
- Chiropractor
- Renton, WA
- NPI 1598548877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1700499480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SW EVERETT MALL WAY STE G",
"city": "EVERETT",
"state": "WA",
"postal_code": "982042715",
"telephone_number": "425-355-5222",
"fax_number": "425-355-5231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11901 NE VILLAGE PLAZA",
"address_2": "SUITE 261",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980345089",
"telephone_number": "425-814-2800",
"fax_number": "425-823-0882"
}
],
"practiceLocations": [
{
"address_1": "2014 E Madison St Ste 100",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981222965",
"country_code": "US",
"telephone_number": "206-726-9595",
"fax_number": "206-320-1468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COTTRILL",
"first_name": "KASEY",
"middle_name": "L",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61062460",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kirkland@thinkvida.com",
"affiliation": "N",
"endpointDescription": "clinic website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "kirkland@thinkvida.com",
"address_1": "11901 NE Village Plaza",
"address_2": "Suite 261",
"city": "Kirkland",
"state": "WA",
"country_code": "US",
"postal_code": "980345089",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.