Individual provider Active NPI

Veronika Polyanskiy, D.P.T, M.S.

  • Physical Therapist
  • Kirkland, WA
National Provider Identifier
1720323405
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60317318 Issued in WA
Practice address
11019 NE 135TH PL
Kirkland, WA 98034-5314
Phone
(425) 999-5023
Fax
(425) 559-7787
NPI assigned
Dec 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12159-24 WI
Physical Therapist 225100000X 60317318 WA Primary

Addresses

Primary practice location

11019 NE 135TH PL
Kirkland, WA 98034-5314

Mailing address

24219 18TH PL W
Bothell, WA 98021-9283
Phone (425) 999-5023

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
60317318WAMDPhysical Therapist
12159-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Right Rehab, LLC Physical Therapist CurrentSince Nov 12, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1720323405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24219 18TH PL W",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219283",
            "telephone_number": "425-999-5023",
            "fax_number": "425-559-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11019 NE 135TH PL",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345314",
            "telephone_number": "425-999-5023",
            "fax_number": "425-559-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLYANSKIY",
        "first_name": "VERONIKA",
        "name_prefix": "Dr.",
        "credential": "D.P.T, M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12159-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60317318",
            "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 Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.