Individual provider Active NPI

Tracey Bree Hedman, DPT

  • Physical Therapist
  • Marysville, WA
National Provider Identifier
1831751031
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60977796 Issued in WA
Practice address
3719 88TH St NE Ste a
Marysville, WA 98270-7228
Phone
(360) 659-9621
NPI assigned
Jul 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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 PT60977796 WA Primary

Addresses

Primary practice location

3719 88TH St NE Ste a
Marysville, WA 98270-7228

Mailing address

16261 Redmond Way Ste 100
Redmond, WA 98052-3833
Phone (425) 881-3001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191227001624 WA Practitioner - Physical Therapist in Private Practice 4688008659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redmond Physical Therapy IncGroup PAC ID 5496943516, 18 clinicians

Practice addresses (Care Compare)

12911 120TH Ave NE
Suite F120
Kirkland, WA 98034-3025
Phone (425) 881-3001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Redmond Physical Therapy, Inc. Physical Therapist CurrentSince Aug 22, 2023 Accepting new patients

Locations

12911 120th Ave NE
Ste F120
Kirkland, WA 98034
Phone (425) 305-2940

16261 Redmond Way
#100
Redmond, WA 98052
Phone (425) 881-3001

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": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1831751031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16261 REDMOND WAY STE 100",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523833",
            "telephone_number": "425-881-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 88TH ST NE STE A",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707228",
            "telephone_number": "360-659-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDMAN",
        "first_name": "TRACEY",
        "middle_name": "BREE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60977796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.