Individual provider Active NPI

Kylene Sutton, DPT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1912733353
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61594597 Issued in WA
Practice address
5025 25TH Ave NE Ste 201
Seattle, WA 98105-4152
Phone
(206) 524-6702
NPI assigned
Sep 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 PT61594597 WA Primary

Addresses

Primary practice location

5025 25TH Ave NE Ste 201
Seattle, WA 98105-4152

Mailing address

9536 Interlake Ave N
Seattle, WA 98103-3324
Phone (509) 304-4583

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250206000844 WA Practitioner - Physical Therapist in Private Practice 9032649066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Washington School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaizen Physical Therapy PLLCGroup PAC ID 2062756851, 9 clinicians

Practice addresses (Care Compare)

5025 25TH Ave NE
Suite 201
Seattle, WA 98105-4152
Phone (206) 524-6702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT61594597WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaizen Physical Therapy, PLLC Physical Therapist CurrentSince Nov 16, 2024 Accepting new patients

Locations

5025 25th Ave NE
Ste 201
Seattle, WA 98105
Phone (206) 524-6702

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": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1912733353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9536 INTERLAKE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033324",
            "telephone_number": "509-304-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 25TH AVE NE STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054152",
            "telephone_number": "206-524-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "KYLENE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61594597",
            "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 Sep 11, 2024; 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.