NPIMap

Organization Active NPI

Redmond Physical Therapy, Inc.

Doing business as Premier Physical Therapy

  • Physical Therapist
  • Kirkland, WA
National Provider Identifier
1962643965
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REDMOND PHYSICAL THERAPY, INC.
Doing business as
Premier Physical Therapy
Practice address
12911 120TH Ave NE Ste F120
Kirkland, WA 98034-3025
Phone
(425) 305-2940
Fax
(425) 881-3585
NPI assigned
Mar 20, 2009
Last updated
Aug 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Mr. Kenneth Crinklaw, MSPT, OCSNPI 1619035912
Title
President
Phone
(425) 881-3001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

12911 120TH Ave NE Ste F120
Kirkland, WA 98034-3025

Mailing address

16261 Redmond Way Ste 100
Redmond, WA 98052-3833
Phone (425) 881-3001

Other names 1

  • Premier Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101216000118 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5496943516 Receives reassigned benefits from 20 practitioners
Practice locations: Kirkland, WA; Mill Creek, WA; Redmond, WA

National Provider Directory

National Provider Directory

Locations

16261 Redmond Way
#100
Redmond, WA 98052
Phone (425) 881-3001

8495 161st Ave NE
Redmond, WA 98052
Phone (425) 881-3001

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1962643965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16261 REDMOND WAY STE 100",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523833",
            "telephone_number": "425-881-3001",
            "fax_number": "425-881-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE F120",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343025",
            "telephone_number": "425-305-2940",
            "fax_number": "425-881-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMOND PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "CRINKLAW",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-881-3001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.