Active NPI
Kathleen Groff, DPT
- Geriatric Physical Therapist
- Seattle, WA
National Provider Identifier
1710431069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- PT60641039
- Practice address
- 2821 S Walden St
Seattle, WA 98144-6830 - Phone
- (206) 577-6200
- NPI assigned
- Aug 3, 2016
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | PT60641039 | WA | Primary |
Addresses
Primary practice location
2821 S Walden St
Seattle, WA 98144-6830
Mailing address
17832 66TH PL W
Lynnwood, WA 98037-7115
Phone (425) 772-8958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60641039 | WA | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470182400000",
"number": "1710431069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17832 66TH PL W",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980377115",
"telephone_number": "425-772-8958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 S WALDEN ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981446830",
"telephone_number": "206-577-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROFF",
"first_name": "KATHLEEN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-03",
"last_updated": "2016-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "WA",
"license": "PT60641039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.