Active NPI
Cheryl Jeanette Hardy-Gostin, PT, DPT
- Geriatric Physical Therapist
- Federal Way, WA
National Provider Identifier
1942045646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- PT00008852
- Practice address
- 909 S 336TH St Ste 100
Federal Way, WA 98003-7394 - Phone
- (251) 661-5166
- NPI assigned
- Jun 26, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | PT00008852 | WA | Primary |
Addresses
Primary practice location
909 S 336TH St Ste 100
Federal Way, WA 98003-7394
Mailing address
909 S 336TH St Ste 100
Federal Way, WA 98003-7394
Phone (251) 661-5166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00008852 | WA | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1942045646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 S 336TH ST STE 100",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980037394",
"telephone_number": "251-661-5166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 S 336TH ST STE 100",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980037394",
"telephone_number": "251-661-5166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY-GOSTIN",
"first_name": "CHERYL",
"middle_name": "JEANETTE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-26",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "WA",
"license": "PT00008852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.