Individual provider Active NPI

Gabriella Jordan, PT, DPT

  • Orthopedic Physical Therapist
  • Kirkland, WA
National Provider Identifier
1700683943
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
0020430 Issued in CO
Practice address
6710 108TH Ave NE Ste 100
Kirkland, WA 98033-7050
Phone
(425) 979-7445
Fax
(425) 947-8540
NPI assigned
Feb 26, 2025
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 0020430 CO Primary

Addresses

Primary practice location

6710 108TH Ave NE Ste 100
Kirkland, WA 98033-7050

Mailing address

16353 119TH LN NE
Bothell, WA 98011-9402
Phone (206) 418-8942

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250731003625 WA Practitioner - Physical Therapist in Private Practice 3678081791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Colorado School of Medicine, Denver, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houghton Physical Therapy LLCGroup PAC ID 3577857903, 9 clinicians

Practice addresses (Care Compare)

6710 108TH Ave NE
Suite 100
Kirkland, WA 98033-7050
Phone (425) 979-7445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0020430COMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Houghton Physical Therapy LLC Orthopedic CurrentSince Jul 1, 2025 Accepting new patients

Locations

6710 108th Ave NE
Ste 100
Kirkland, WA 98033
Phone (206) 963-7499

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": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1700683943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16353 119TH LN NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980119402",
            "telephone_number": "206-418-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 108TH AVE NE STE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337050",
            "telephone_number": "425-979-7445",
            "fax_number": "425-947-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "GABRIELLA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "0020430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 26, 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.