Individual provider Active NPI

Heidi Irena Marten, DPT

  • Physical Therapist
  • Woodinville, WA
National Provider Identifier
1962001032
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61093820 Issued in WA
Practice address
17632 140TH Ave NE
Woodinville, WA 98072-8514
Phone
(206) 295-3870
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 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 PT61093820 WA Primary

Addresses

Primary practice location

17632 140TH Ave NE
Woodinville, WA 98072-8514

Mailing address

19804 77TH PL NE
Kenmore, WA 98028-2162
Phone (206) 295-3870

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

OrganizationSpecialtyStatusNew patients
Blossom Physical Therapy PLLC CurrentSince Jan 17, 2022 Accepting new patients
Morgan Kriz PLLC Physical Therapist CurrentSince Oct 1, 2020 Accepting new patients

Locations

100 NE Northlake Way
Ste 200B
Seattle, WA 98105
Phone (206) 295-3870

17632 140th Ave NE
Woodinville, WA 98072
Phone (206) 295-3870

Organizations & group practices 2

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": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1962001032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19804 77TH PL NE",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980282162",
            "telephone_number": "206-295-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17632 140TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728514",
            "telephone_number": "206-295-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTEN",
        "first_name": "HEIDI",
        "middle_name": "IRENA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61093820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.