Organization Active NPI

KBC Intrepid Enterprises Inc

  • Physical Therapy Clinic/Center
  • Seattle, WA
National Provider Identifier
1932316346
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
602562899 Issued in WA
Legal business name
KBC INTREPID ENTERPRISES INC
Doing business as
NEXT STEP PHYSICAL THERAPY & SPORTS PERFORMANCE
Practice address
1818 Westlake Ave N Ste 201
Seattle, WA 98109-2707
Phone
(206) 283-1030
Fax
(206) 283-1040
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen B Calara, MS,PTNPI 1164450607
Title
Owner
Phone
(206) 283-1030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 602562899 WA Primary

Addresses

Primary practice location

1818 Westlake Ave N Ste 201
Seattle, WA 98109-2707

Mailing address

PO Box 70601
Seattle, WA 98127-0601
Phone (206) 283-1030

Other names 1

  • NEXT STEP PHYSICAL THERAPY & SPORTS PERFORMANCE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080523000032 WA Part B Supplier - Clinic/Group Practice 2567531098 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

1116 W Ewing St
Seattle, WA 98119
Phone (206) 283-1030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1932316346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70601",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981270601",
            "telephone_number": "206-283-1030",
            "fax_number": "206-283-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 WESTLAKE AVE N STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092707",
            "telephone_number": "206-283-1030",
            "fax_number": "206-283-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBC INTREPID ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "CALARA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-283-1030",
        "authorized_official_credential": "MS,PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "602562899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEXT STEP PHYSICAL THERAPY & SPORTS PERFORMANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 14, 2013; 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.