Active NPI
Kristofer Kazen
- Physical Therapist
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60022481
- Practice address
- 2500 Hewitt Ave Ste 200
Everett, WA 98201-3789 - Phone
- (425) 258-3671
- NPI assigned
- Jul 10, 2008
- Last updated
- Jul 10, 2008
- Sex
- Male
- 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 | PT60022481 | WA | Primary |
Addresses
Primary practice location
2500 Hewitt Ave Ste 200
Everett, WA 98201-3789
Mailing address
2500 Hewitt Ave Ste 200
Everett, WA 98201-3789
Phone (425) 258-3671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
275 SW 160TH St
Suite 105
Burien, WA 98166-3003
Phone (206) 513-2155
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Management Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Therapy Management Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Therapy Management Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Therapy Management Services, PLLC | Physical Therapist | Past | Accepting new patients |
Locations
11711 NE 12th St
Ste 3A
Bellevue, WA 98005
Phone (425) 454-1405
814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900
15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855
275 SW 160th St
Ste 105
Burien, WA 98166
Phone (206) 513-2155
12910 Totem Lake Blvd NE
Ste 105
Kirkland, WA 98034
Phone (425) 823-8631
925 Frontier Cir E
#100
Lake Stevens, WA 98258
Phone (425) 377-1169
19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991
17020 Twin Lakes Ave
Ste C101
Marysville, WA 98271
Phone (360) 658-8400
709 Cook Rd
Sedro Woolley, WA 98284
Phone (360) 873-8191
Organizations & group practices 4
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.
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- Physical Therapist
- Bellevue, WA
- NPI 1710330378
-
- Durable Medical Equipment & Medical Supplies
- Puyallup, WA
- NPI 1225255318
Physical Therapist
-
dba Source Therapy
- Physical Therapist
- Gig Harbor, WA
- NPI 1417505678
-
- Physical Therapy Clinic/Center
- Burien, WA
- NPI 1780037689
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1861655789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 HEWITT AVE STE 200",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013789",
"telephone_number": "425-258-3671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 HEWITT AVE STE 200",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013789",
"telephone_number": "425-258-3671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZEN",
"first_name": "KRISTOFER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-10",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60022481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.