Active NPI
Jennifer Beaverson, PT
- Physical Therapist
- Lynnwood, WA
National Provider Identifier
1801760525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61686453
- Practice address
- 20818 44TH Ave W Ste 270
Lynnwood, WA 98036-7709 - Phone
- (425) 672-9219
- NPI assigned
- Oct 4, 2025
- Sex
- Female
- Sole proprietor
- No
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 | PT61686453 | WA | Primary |
Addresses
Primary practice location
20818 44TH Ave W Ste 270
Lynnwood, WA 98036-7709
Mailing address
7751 38TH Ave NE
Seattle, WA 98115-4907
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT61686453 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759536000000",
"number": "1801760525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7751 38TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981154907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20818 44TH AVE W STE 270",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980367709",
"telephone_number": "425-672-9219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAVERSON",
"first_name": "JENNIFER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-04",
"last_updated": "2025-10-04",
"certification_date": "2025-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61686453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.