Individual provider Active NPI

Marina Lily Chen, DPT

  • Orthopedic Physical Therapist
  • Seattle, WA
National Provider Identifier
1952073447
Registry record updated Oct 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT61147525 Issued in WA
Practice address
5025 25TH Ave NE Ste 201
Seattle, WA 98105-4152
Phone
(206) 524-6702
Fax
(206) 524-6703
NPI assigned
Oct 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT61147525 WA Primary

Addresses

Primary practice location

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

Mailing address

4455 Interlake Ave N Unit 431
Seattle, WA 98103-7591
Phone (507) 573-2164

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220215002518 WA Practitioner - Physical Therapist in Private Practice 5496148462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaizen Physical Therapy, PLLC CurrentSince Nov 11, 2021 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": "1633132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633132800000",
    "number": "1952073447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 INTERLAKE AVE N UNIT 431",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037591",
            "telephone_number": "507-573-2164"
        },
        {
            "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",
            "fax_number": "206-524-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "MARINA",
        "middle_name": "LILY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-02",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT61147525",
            "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 Oct 2, 2021; 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.