Individual provider Active NPI

Payal Patel

  • Physical Therapist
  • Newcastle, WA
National Provider Identifier
1942959960
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP010089T Issued in WA
Practice address
13056 SE 76TH St
Newcastle, WA 98056-4159
Phone
(425) 903-3530
NPI assigned
Mar 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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 CP010089T WA Primary

Addresses

Primary practice location

13056 SE 76TH St
Newcastle, WA 98056-4159

Mailing address

13301 SE 79TH PL Unit C101
Newcastle, WA 98059-3279
Phone (425) 208-1218

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220406001808 WA Practitioner - Physical Therapist in Private Practice 3173919800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians

Practice addresses (Care Compare)

6985 Coal Creek Pkwy SE
Newcastle, WA 98059-3136
Phone (425) 378-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP010089TWAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Highline Physical Therapy Group Physical Therapist CurrentSince Feb 13, 2023 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Feb 13, 2023 Accepting new patients

Locations

16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400

16259 Sylvester Rd SW
Ste 102
Burien, WA 98166
Phone (206) 242-5186

Organizations & group practices 3

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": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1942959960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 SE 79TH PL UNIT C101",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593279",
            "telephone_number": "425-208-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13056 SE 76TH ST",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980564159",
            "telephone_number": "425-903-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PAYAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "CP010089T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newcastle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.