Active NPI
Kelly Jean McGivern, PT, DPT
- Physical Therapist
- Kirkland, WA
National Provider Identifier
1972051407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60667624
- Practice address
- 6710 108TH Ave NE
Kirkland, WA 98033-7050 - Phone
- (425) 979-7445
- NPI assigned
- Sep 13, 2016
- 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 | 60667624 | WA | Primary |
Addresses
Primary practice location
6710 108TH Ave NE
Kirkland, WA 98033-7050
Mailing address
11001 NE 65TH St
Kirkland, WA 98033-7117
Phone (206) 818-8137
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60667624 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1972051407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 NE 65TH ST",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980337117",
"telephone_number": "206-818-8137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6710 108TH AVE NE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980337050",
"telephone_number": "425-979-7445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGIVERN",
"first_name": "KELLY",
"middle_name": "JEAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-13",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60667624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.