Sujaya Deodhar, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

5029 Evergreen Way
Everett, WA 98203-2826

Phone

(425) 252-1642

NPI assigned

Sep 27, 2012

Last updated

May 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Rehabilitation Group PCGroup PAC ID 0042111718, 192 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Integrated Rehabilitation Group, PC

  • Physical Therapy Clinic/Center
  • Mill Creek, WA
  • NPI 1154369833

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Everett Physical Therapy and Sport Performance Center PLLC

  • Physical Therapist
  • Everett, WA
  • NPI 1699713370
  Medicare reassignment NPD
• Snohomish Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Snohomish, WA
  • NPI 1487692398

  Physical Therapist

  Medicare reassignment NPD
• Everett Physical Therapy and Sport Performance Center PLLC

  • Durable Medical Equipment & Medical Supplies
  • Bothell, WA
  • NPI 1447047477
  NPD
• Integrated Rehabilitation Group, PC

  dba IRG Physical & Hand Therapy - Marysville

  • Physical Therapy Clinic/Center
  • Marysville, WA
  • NPI 1215201801

  Physical Therapist

  NPD
• Snohomish Physical Therapy PLLC

  dba IRG Physical Therapy of Canyon Park

  • Occupational Therapist
  • Bothell, WA
  • NPI 1245696814

  Physical Therapist

  NPD

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1720339088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5029 EVERGREEN WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032826",
            "telephone_number": "425-252-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5029 EVERGREEN WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032826",
            "telephone_number": "425-252-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEODHAR",
        "first_name": "SUJAYA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sujaya.deodhar@irgpt.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Clinic",
            "address_1": "5029 Evergreen Way",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982032826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Priscilla Densmore
• Dental Professionals of Washington Quirt Mongrain Gibree PC (Canyon Creek Family & Implant Dentistry)
• Dental Professionals of Washington Quirt Mongrain Gibree PC (All Smiles Northwest)
• Amanda Jean Denton
• Edward Arthur Denz, OD
• William James Depender, MD
• Colin M Derieg, DC
• Richard Dermody, MD
• Kshitij Anil Desai, MD, MPHS
• Sisay Desalegn

• Orthopedic Physical Therapist in Everett, WA
• Providers in Everett, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.