Active NPI
Deepti Gopal Nadgouda
- Physical Therapist
- Seattle, WA
National Provider Identifier
1821598640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60599242
- Practice address
- 925 Seneca St
Seattle, WA 98101-2742 - Phone
- (206) 223-6600
- NPI assigned
- Feb 19, 2018
- 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 | 60599242 | WA | Primary |
Addresses
Primary practice location
925 Seneca St
Seattle, WA 98101-2742
Mailing address
11101 NE 12TH St Apt No202
Bellevue, WA 98004-4771
Phone (786) 514-4999
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 |
|---|---|---|---|
| 60599242 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518998400000",
"number": "1821598640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11101 NE 12TH ST APT NO202",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044771",
"telephone_number": "786-514-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 SENECA ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012742",
"telephone_number": "206-223-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADGOUDA",
"first_name": "DEEPTI",
"middle_name": "GOPAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-19",
"last_updated": "2018-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60599242",
"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 Feb 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.