Active NPI
Kendall Ryan Gielow, DPT
- Physical Therapist
- Gig Harbor, WA
National Provider Identifier
1992173314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60568290
- Practice address
- 10550 Harbor Hill Dr NW
Gig Harbor, WA 98332-8944 - Phone
- (253) 530-8970
- Fax
- (253) 858-1143
- NPI assigned
- Sep 2, 2015
- Sex
- Male
- 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 | PT60568290 | WA | Primary |
Addresses
Primary practice location
10550 Harbor Hill Dr NW
Gig Harbor, WA 98332-8944
Mailing address
10550 Harbor Hill Dr NW
Gig Harbor, WA 98332-8944
Phone (253) 530-8970
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1992173314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10550 HARBOR HILL DR NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983328944",
"telephone_number": "253-530-8970",
"fax_number": "253-858-1143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10550 HARBOR HILL DR NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983328944",
"telephone_number": "253-530-8970",
"fax_number": "253-858-1143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIELOW",
"first_name": "KENDALL",
"middle_name": "RYAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-02",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60568290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.