Active NPI
Susan Whitfield Grote, PT
- Physical Therapist
- Seattle, WA
National Provider Identifier
1730129057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00007200
- Practice address
- 9518 Roosevelt Way NE
Seattle, WA 98115-2234 - Phone
- (206) 524-1058
- Fax
- (206) 524-1059
- NPI assigned
- Jun 7, 2006
- Last updated
- Jan 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | PT00007200 | WA | Primary |
Addresses
Primary practice location
9518 Roosevelt Way NE
Seattle, WA 98115-2234
Mailing address
PO Box 1570
Monroe, WA 98272-4570
Phone (425) 374-8383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8924019 | Other | WA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070129000584 | WA | Practitioner - Physical Therapist in Private Practice | 8426059759 | Practice locations: Seattle, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Washington School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9518 Roosevelt Way NE
Seattle, WA 98115-2234
Phone (206) 524-1058
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00007200 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Works, PS | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Seattle, WA
- NPI 1649505355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1730129057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1570",
"city": "MONROE",
"state": "WA",
"postal_code": "982724570",
"telephone_number": "425-374-8383",
"fax_number": "425-322-4421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9518 ROOSEVELT WAY NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152234",
"telephone_number": "206-524-1058",
"fax_number": "206-524-1059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROTE",
"first_name": "SUSAN",
"middle_name": "WHITFIELD",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00007200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "G8924019",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.