Active NPI
Karissa Walker Shiraishi
- Pediatric Physical Therapist
- Kirkland, WA
National Provider Identifier
1942715438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- Practice address
- 12911 120TH Ave NE Ste E60
Kirkland, WA 98034 - Phone
- (425) 298-7190
- NPI assigned
- Dec 6, 2017
- Last updated
- Apr 9, 2021
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | NU | Primary |
Addresses
Primary practice location
12911 120TH Ave NE Ste E60
Kirkland, WA 98034
Mailing address
1004 Kirkland Ave # A7
Kirkland, WA 98033-6349
Phone (206) 841-8204
Other practice location 1
20818 44th Ave W Ste 270
Lynnwood, WA 98036-7709
Phone (425) 672-2716
Other practice location 2
710 NW Juniper St Ste 104
Issaquah, WA 98027-2717
Phone (425) 392-7989
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RWW Pediatric Rehab Services LLC | Past | Accepting new patients | |
| Northwest Pediatric Therapies, PS | Past | Accepting new patients | |
| Center for Prosthetics Orthotics, Inc. | Past | Accepting new patients |
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.
-
- Physical Therapist
- Kirkland, WA
- NPI 1407465388
-
- Prosthetic/Orthotic Supplier
- Kirkland, WA
- NPI 1770774499
-
dba Priscilla A Coyner
- Physical Therapist
- Issaquah, WA
- NPI 1306903877
-
- Clinic/Center
- Issaquah, WA
- NPI 1073001913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1942715438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 KIRKLAND AVE # A7",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980336349",
"telephone_number": "206-841-8204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12911 120TH AVE NE STE E60",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "98034",
"telephone_number": "425-298-7190"
}
],
"practiceLocations": [
{
"address_1": "20818 44th Ave W Ste 270",
"address_purpose": "LOCATION",
"city": "Lynnwood",
"state": "WA",
"postal_code": "980367709",
"country_code": "US",
"telephone_number": "425-672-2716",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "710 NW Juniper St Ste 104",
"address_purpose": "LOCATION",
"city": "Issaquah",
"state": "WA",
"postal_code": "980272717",
"country_code": "US",
"telephone_number": "425-392-7989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIRAISHI",
"first_name": "KARISSA",
"middle_name": "WALKER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-06",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.