Individual provider Active NPI

Taylor Skelton, DPT

  • Physical Therapist
  • Burien, WA
National Provider Identifier
1851875942
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0015688 Issued in CO
Practice address
140 SW 146TH St
Burien, WA 98166-1912
Phone
(206) 630-3000
Fax
(844) 660-0682
NPI assigned
Sep 24, 2018
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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 0015688 CO Primary

Addresses

Primary practice location

140 SW 146TH St
Burien, WA 98166-1912

Mailing address

1896 Deer Haven Dr
Ely, MN 55731-8016
Phone (218) 235-3770

Other practice location 1

1896 Deer Haven Dr
Ely, MN 55731-8016
Phone (218) 235-3770

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190104001378 WI Practitioner - Physical Therapist in Private Practice 8426394990
I20230912001897 WA Practitioner - Physical Therapist in Private Practice 8426394990 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0015688COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince Feb 21, 2024 Accepting new patients
Multicare Health System CurrentSince Aug 4, 2023 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Feb 21, 2024 Accepting new patients
Multicare Health System CurrentSince Aug 4, 2023 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Multicare Health System Current Accepting new patients

Locations

140 SW 146th St
Burien, WA 98166
Phone (206) 630-3000

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

16101 64th St E
Sumner, WA 98390
Phone (253) 750-0453

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1851875942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1896 DEER HAVEN DR",
            "city": "ELY",
            "state": "MN",
            "postal_code": "557318016",
            "telephone_number": "218-235-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SW 146TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661912",
            "telephone_number": "206-630-3000",
            "fax_number": "844-660-0682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1896 Deer Haven Dr",
            "address_purpose": "LOCATION",
            "city": "Ely",
            "state": "MN",
            "postal_code": "557318016",
            "country_code": "US",
            "telephone_number": "218-235-3770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKELTON",
        "first_name": "TAYLOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0015688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "140 SW 146th St",
            "city": "Burien",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981661912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.

Verify at the official NPI Registry.