Kimmy Lau, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160920732 Issued in WA

Practice address

22659 Pacific Hwy S Ste 201
Des Moines, WA 98198-5155

Phone

(206) 824-3668

Fax

(206) 971-1989

NPI assigned

Sep 2, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1720692148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 165TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083027",
            "telephone_number": "425-829-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22659 PACIFIC HWY S STE 201",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981985155",
            "telephone_number": "206-824-3668",
            "fax_number": "206-971-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "KIMMY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160920732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Kuzara, COTA/L
• Daniel M Kwao
• Tiffiny Langanke, PTA
• Francis Gem Lankford, ARNP
• Jeremy Larkin
• Barbara Joann Law
• Charles M Laycock, DC
• Abraham Si-Viet Le, D.D.S.
• Heather Learned, LMP
• Charles Tiu Lee, DDS

• Physical Therapy Assistant in Des Moines, WA
• Providers in Des Moines, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.