Individual provider Active NPI

Paige Katherine Vivian, DPT

  • Orthopedic Physical Therapist
  • Seattle, WA
National Provider Identifier
1790036192
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT60293225 Issued in WA
Practice address
3603 S McCellan St
Seattle, WA 98144
Phone
(206) 535-7356
Fax
(206) 466-1527
NPI assigned
Sep 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60293225 WA
Orthopedic Physical Therapist 2251X0800X PT60293225 WA Primary

Addresses

Primary practice location

3603 S McCellan St
Seattle, WA 98144

Mailing address

1929 43Rd Ave E
Unit 100
Seattle, WA 98112
Phone (206) 535-7356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Motion Lab CurrentSince May 16, 2022 Accepting new patients

Locations

1560 140th Ave NE
Ste 100
Bellevue, WA 98005
Phone (425) 746-2475

506 12th Ave
Seattle, WA 98122
Phone (206) 212-1213

3200 W McGraw St
Seattle, WA 98199
Phone (206) 281-7970

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1790036192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 43RD AVE E",
            "address_2": "UNIT 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98112",
            "telephone_number": "206-535-7356",
            "fax_number": "206-466-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 S MCCELLAN ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98144",
            "telephone_number": "206-535-7356",
            "fax_number": "206-466-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVIAN",
        "first_name": "PAIGE",
        "middle_name": "KATHERINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-25",
        "last_updated": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60293225",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT60293225",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 17, 2025; 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.