Individual provider Active NPI

Lauren Chappelle, D.P.T.

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1760856199
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60602236 Issued in WA
Practice address
1218 3Rd Ave
Ste 104
Seattle, WA 98101-3097
Phone
(206) 447-2220
Fax
(206) 447-2228
NPI assigned
Nov 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60602236 WA Primary

Addresses

Primary practice location

1218 3Rd Ave
Ste 104
Seattle, WA 98101-3097

Mailing address

1218 3Rd Ave
Ste 104
Seattle, WA 98101-3097
Phone (206) 447-2220

Other names 1

  • Lauren Gazdik Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160308000315 WA Practitioner - Physical Therapist in Private Practice 1052617610 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Physical Therapy Group LLCGroup PAC ID 2668540337, 11 clinicians
Therapydia of Washington PCGroup PAC ID 9931633492, 22 clinicians

Practice addresses (Care Compare)

19910 S Prairie Rd E
Bonney Lake, WA 98391-7901
Phone (253) 750-5997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60602236WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physical Therapy PC CurrentSince Dec 27, 2024 Accepting new patients
Therapydia of Washington PC Physical Therapist CurrentSince Jan 26, 2026 Accepting new patients
Elite Physical Therapy Group, LLC CurrentSince Sep 15, 2018 Accepting new patients

Locations

1218 3rd Ave
Ste 104
Seattle, WA 98101
Phone (206) 447-2220

720 Olive Way
Ste 900
Seattle, WA 98101
Phone (206) 623-2220

223 140th St S
Ste 700
Tacoma, WA 98444
Phone (253) 531-5645

223 140th St S
Tacoma, WA 98444
Phone (253) 531-5645

Organizations & group practices 3

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": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1760856199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 3RD AVE",
            "address_2": "STE 104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013097",
            "telephone_number": "206-447-2220",
            "fax_number": "206-447-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 3RD AVE",
            "address_2": "STE 104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013097",
            "telephone_number": "206-447-2220",
            "fax_number": "206-447-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPPELLE",
        "first_name": "LAUREN",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60602236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "GAZDIK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 23, 2015; 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.