Individual provider Active NPI

Leah Michelle Kern, PT, DPT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1972340636
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16859-024 Issued in WI
Practice address
1500 NW 63Rd St
Seattle, WA 98107-2338
Phone
(206) 735-4414
NPI assigned
Jul 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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 16859-024 WI Primary

Addresses

Primary practice location

1500 NW 63Rd St
Seattle, WA 98107-2338

Mailing address

7638 Winona Ave N # a
Seattle, WA 98103-4840
Phone (630) 696-2906

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814003490 WA Practitioner - Physical Therapist in Private Practice 3072051614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1500 NW 63Rd St
Seattle, WA 98107-2338
Phone (360) 768-4340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16859-024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Seattle Physical Therapy, PLLC Physical Therapist CurrentSince Oct 13, 2024 Accepting new patients
Therapydia California Physical Therapy, PC. Physical Therapist CurrentSince Jul 22, 2024 Accepting new patients
Therapydia of Washington PC Physical Therapist PastSince Dec 1, 2024 Accepting new patients

Locations

18 E Blithedale Ave
Ste 21
Mill Valley, CA 94941

1125 SE 163rd Pl
Ste 102
Vancouver, WA 98683
Phone (360) 658-4340

Organizations & group practices 3

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": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1972340636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7638 WINONA AVE N # A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034840",
            "telephone_number": "630-696-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW 63RD ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981072338",
            "telephone_number": "206-735-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "LEAH",
        "middle_name": "MICHELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16859-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.

Verify at the official NPI Registry.