Individual provider Active NPI

Ravijeet Singh, DPT

  • Physical Therapist
  • Edmonds, WA
National Provider Identifier
1992544738
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61529224 Issued in WA
Practice address
190 W Dayton St Ste 202
Edmonds, WA 98020-7221
Phone
(425) 582-8118
Fax
(425) 582-7420
NPI assigned
May 21, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 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 61529224 WA Primary

Addresses

Primary practice location

190 W Dayton St Ste 202
Edmonds, WA 98020-7221

Mailing address

1823 NE 172ND St
Shoreline, WA 98155-6034
Phone (206) 353-3200

Other practice location 1

15808 Mill Creek Blvd Ste 120
Mill Creek, WA 98012-1500
Phone (425) 225-6867

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240628003310 WA Practitioner - Physical Therapist in Private Practice 9537603683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Functional Health Consulting LLCGroup PAC ID 1759560709, 36 clinicians

Practice addresses (Care Compare)

4915 25TH Ave NE
Suite 104
Seattle, WA 98105-8667
Phone (206) 315-7998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61529224WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc P S Current Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist Current Accepting new patients
Proliance Surgeons Inc., P.S. Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Functional Health Consulting, LLC CurrentSince Jan 17, 2026 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Jun 17, 2024 Accepting new patients

Locations

190 W Dayton St
Ste 202
Edmonds, WA 98020
Phone (425) 252-4700

7320 216th St SW
Ste 320
Edmonds, WA 98026
Phone (425) 673-3900

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

15 SW Everett Mall Way
Ste G
Everett, WA 98204
Phone (425) 355-5222

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

15808 Mill Creek Blvd
Ste 120
Mill Creek, WA 98012
Phone (425) 225-6867

4915 25th Ave NE
Ste 104
Seattle, WA 98105
Phone (206) 315-7998

2014 E Madison St
Ste 100
Seattle, WA 98122
Phone (206) 726-9551

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

201 W North River Dr
Ste 510
Spokane, WA 99201
Phone (509) 323-0066

Organizations & group practices 6

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": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1992544738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 NE 172ND ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981556034",
            "telephone_number": "206-353-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W DAYTON ST STE 202",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980207221",
            "telephone_number": "425-582-8118",
            "fax_number": "425-582-7420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15808 Mill Creek Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WA",
            "postal_code": "980121500",
            "country_code": "US",
            "telephone_number": "425-225-6867",
            "fax_number": "425-332-2494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "RAVIJEET",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61529224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.