Payal Pancholi

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61096666 Issued in WA

Practice address

148 102ND Ave SE
Bellevue, WA 98004-6197

Phone

(425) 298-3979

NPI assigned

Jan 12, 2022

Last updated

Feb 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Payal Dakshesh Pancholi Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1720739527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 147TH PL NE APT B14",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073574",
            "telephone_number": "224-602-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 102ND AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046197",
            "telephone_number": "425-298-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHOLI",
        "first_name": "PAYAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61096666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAYAL",
            "last_name": "PANCHOLI",
            "middle_name": "DAKSHESH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lindsey Christian Palmquist
• Caranina Elizabeth Palomino, RN, CNM, WHNP-BC
• Jennifer Marie Pan-Skadden, M.S., BCBA
• Stephen G Pan, PHARM D.
• Mitra Panah
• Indu Pandalai, MSW, SW ASS
• Soumya Pandey
• Ashul Pandhi, M.D.
• Kerilyn Pandorf, SLP
• Ioana Daniela Panduru, LACEMP

• Physical Therapist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.