Active NPI
Keith A Boyd, PT
- Physical Therapist
- Covington, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00009056
- Practice address
- 17700 SE 272ND St
Covington, WA 98042-4951 - Phone
- (253) 372-7030
- NPI assigned
- Jul 18, 2006
- 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 | PT00009056 | WA | Primary |
Addresses
Primary practice location
17700 SE 272ND St
Covington, WA 98042-4951
Mailing address
PO Box 5299
M/S: 737-2-Phys
Tacoma, WA 98415-0299
Phone (253) 459-7970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120116000150 | WA | Practitioner - Physical Therapist in Private Practice | 4981871910 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valley Medical Group-Renton
Practice addresses (Care Compare)
16850 SE 272ND St
Covington, WA 98042-4931
17307 SE 272ND St
Suite 126
Covington, WA 98042-5306
Phone (253) 639-2266
24060 SE Kent Kangley Rd
Suite D100
Maple Valley, WA 98038-6801
Phone (425) 433-0123
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Therapy Group | Physical Therapist | Current | Accepting new patients |
| Valley Medical Group-Renton | Current | Accepting new patients | |
| Multicare Health System | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients |
Locations
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
10550 Harbor Hill Dr
Gig Harbor, WA 98332
Phone (253) 530-8970
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500
24060 SE Kent Kangley Rd
#D100
Maple Valley, WA 98038
Phone (425) 358-7708
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Organizations & group practices 5
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.
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Physical Therapist
- Maple Valley, WA
- NPI 1225116916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418083200000",
"number": "1891714291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5299",
"address_2": "M/S: 737-2-PHYS",
"city": "TACOMA",
"state": "WA",
"postal_code": "984150299",
"telephone_number": "253-459-7970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17700 SE 272ND ST",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980424951",
"telephone_number": "253-372-7030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "KEITH",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2014-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00009056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.