Stephen Gerard Duclayan Alterado, DPT
Individual provider Active NPI Physical Therapist · Seattle, WA
NPI 1972176139 · NPPES record last updated Jul 23, 2021
Key facts
- NPI
- 1972176139
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT61151279 (WA)
- Practice address
- 3727 California Ave SW Ste 1a
Seattle, WA 98116-4303 - Phone
- (206) 938-0860
- Fax
- (206) 938-0866
- NPI assigned
- Jul 23, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hidef Seattle,LLC
Practice addresses (Care Compare)
2211 5TH Ave
Seattle, WA 98121-4034
Phone (206) 693-9929
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260121004324 | WA | Practitioner - Physical Therapist in Private Practice | 6305323346 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT61151279 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biojunction Sports Therapy, PLLC | Physical Therapist | Current |
Accepting new patients |
| Hidef Seattle,LLC | Current |
Accepting new patients | |
| 520 Physical Therapy, LLC | Physical Therapist | Past |
Accepting new patients |
Locations
8180 304th Ave SE
Issaquah, WA 98027
Phone (206) 693-9929
3727 California Ave SW
Ste 1A
Seattle, WA 98116
Phone (206) 829-8269
4005 Wallingford Ave N
Seattle, WA 98103
Phone (206) 632-0542
2211 5th Ave
Seattle, WA 98121
Phone (206) 693-9929
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT61151279 | WA | Yes |
Addresses
Primary practice location
3727 California Ave SW Ste 1a
Seattle, WA 98116-4303
Mailing address
4005 Wallingford Ave N
Seattle, WA 98103-8218
Phone (206) 829-8269
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Seattle | Health Information Exchange (HIE) |
Other providers in Seattle, WA
- Leah Elysse Altemeier
- Maya Altemeier
- Susan M Altemeier
- William Arthur Altemeier IV
- Dianna K Altena
- Alternatives Inc
- Hadeel Altharwa
- Hatoun Altharwa
- Lesley F Althouse
- Altius Institute for Biomedical Sciences
All providers in Seattle, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.