Active NPI
Sadiya Mukhtar
- Physical Therapist
- Federal Way, WA
National Provider Identifier
1790114031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60130866
- Practice address
- 728 S 320TH St Ste G
Federal Way, WA 98003-5255 - Phone
- (253) 448-2174
- NPI assigned
- Nov 7, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 60130866 | WA | Primary |
Addresses
Primary practice location
728 S 320TH St Ste G
Federal Way, WA 98003-5255
Mailing address
1940 S Bonito Way Ste 190
Meridian, ID 83642-5618
Phone (208) 287-9420
Other practice location 1
2031 236th Ave NE
Sammamish, WA 98074-3530
Phone (469) 556-9757
Other practice location 2
17833 1st Ave S Ste A
Normandy Park, WA 98148-1713
Phone (253) 330-8518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220307001459 | WA | Practitioner - Physical Therapist in Private Practice | 5092109165 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60130866 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kindstead Home Care LLC | Current | 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 and National Provider Directory roles.
-
- Personal Care Attendant
- Allen, TX
- NPI 1801754973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1790114031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 S BONITO WAY STE 190",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425618",
"telephone_number": "208-287-9420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 S 320TH ST STE G",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980035255",
"telephone_number": "253-448-2174"
}
],
"practiceLocations": [
{
"address_1": "2031 236th Ave NE",
"address_purpose": "LOCATION",
"city": "Sammamish",
"state": "WA",
"postal_code": "980743530",
"country_code": "US",
"telephone_number": "469-556-9757",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17833 1st Ave S Ste A",
"address_purpose": "LOCATION",
"city": "Normandy Park",
"state": "WA",
"postal_code": "981481713",
"country_code": "US",
"telephone_number": "253-330-8518",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUKHTAR",
"first_name": "SADIYA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-07",
"last_updated": "2023-02-22",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60130866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.