Active NPI
Suzanne Kirsten Soine, DPT
- Physical Therapist
- Bellevue, WA
National Provider Identifier
1962694091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00010564
- Practice address
- 1188 106TH Ave NE
Suite 100
Bellevue, WA 98004-8612 - Phone
- (425) 455-2630
- Fax
- (425) 451-4390
- NPI assigned
- Aug 13, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00010564 | WA | Primary |
Addresses
Primary practice location
1188 106TH Ave NE
Suite 100
Bellevue, WA 98004-8612
Mailing address
100 NE Northlake Way
Ste 200B
Seattle, WA 98105-6871
Phone (630) 296-2223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8517690 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080801000212 | WA | Practitioner - Physical Therapist in Private Practice | 3971677402 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stride Physio PLLC
Practice addresses (Care Compare)
100 NE Northlake Way
Suite 200B
Seattle, WA 98105-6871
Phone (206) 547-7445
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stride Physio PLLC | Current | Accepting new patients | |
| Morgan Kriz PLLC | Physical Therapist | Current | Accepting new patients |
Locations
100 NE Northlake Way
Ste 200B
Seattle, WA 98105
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": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1962694091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NE NORTHLAKE WAY",
"address_2": "STE 200B",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981056871",
"telephone_number": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1188 106TH AVE NE",
"address_2": "SUITE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980048612",
"telephone_number": "425-455-2630",
"fax_number": "425-451-4390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOINE",
"first_name": "SUZANNE",
"middle_name": "KIRSTEN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00010564",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8517690",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.