Active NPI
Dennis G Sealey, PT, ATC
- Physical Therapist
- Kirkland, WA
National Provider Identifier
1720038193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00000788
- Practice address
- 13120 NE 70TH PL
Kirkland, WA 98033-8570 - Phone
- (425) 889-0776
- Fax
- (425) 889-0857
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 | PT00000788 | WA | Primary |
Addresses
Primary practice location
13120 NE 70TH PL
Kirkland, WA 98033-8570
Mailing address
13120 NE 70TH PL, Suite 3
Kirkland, WA 98033
Phone (425) 889-0776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142739 | Other | WA | DEPT OF L&I |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 788 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridle Trails Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Mark J Pierce | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Redmond, WA
- NPI 1720460710
-
dba Bridle Trails Physical Therapy
- Physical Therapy Clinic/Center
- Kirkland, WA
- NPI 1407253867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720038193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13120 NE 70TH PL, SUITE 3",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "98033",
"telephone_number": "425-889-0776",
"fax_number": "425-889-0857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13120 NE 70TH PL",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980338570",
"telephone_number": "425-889-0776",
"fax_number": "425-889-0857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEALEY",
"first_name": "DENNIS",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "PT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00000788",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF L&I",
"identifier": "142739",
"state": "WA"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.