JEANETTE M MCKIM


Address: 15600 Redmond Way Ste 100, Redmond, WA 98052-3862
Phone: 4258839089

JEANETTE M MCKIM (NPI# 1386631943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386631943
Entity Type Individual
Full Name JEANETTE M MCKIM
Other Name JEANETTE M CLARKE
Credential PT
Practice Address 15600 Redmond Way Ste 100
Redmond
WA 98052-3862
Mailing Address 915 118th Ave Se Ste 110
Bellevue
WA 98005-3875
Practice Telephone 4258839089
Practice Fax Number 4258691355
Mailing Telephone 4254509474
Mailing Fax Number 4254520704
Enumeration Date 2005-09-29
Last Update Date 2020-01-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225100000X Physical Therapist PT00008796 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA REGENCE BLUE SHIELD 4035TO 01
WA REGENCE 5682TO 01
WA DEPT. OF LABOR & INDUSTRY 0208917 01
WA TRICARE 710883456-98502-A002 01
WA REGENCE 3246TO 01
WA REGENCE 3686TO 01
WA REGENCE 6572TO 01
WA 8455016 05
WA RAILROAD MEDICARE P00428344 01
WA AETNA 7393456 01

Office Location

Street Address 15600 REDMOND WAY STE 100
City REDMOND
State WA
Zip Code 98052-3862

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689891749 Eastside Physical Therapy Inc Ps Physical Therapist 15600 Redmond Way Ste 100, Redmond, WA 98052-3862 2007-04-19

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1275047599 Simeon P Roth Pharmacist 8547 Avondale Road Ne, Redmond, WA 98052 2017-11-22
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Taxonomy Information

Taxonomy Code 225100000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist

Taxonomy Definition

(1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury.
Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295333235 Nike Hokama Physical Therapist 2227 152nd Ave Ne Ste A, Redmond, WA 98052-5519 2020-10-12
1013495449 Darshita Dalal Physical Therapist 14961 Ne 95th St, Redmond, WA 98052-2559 2018-07-28
1245746973 Force 10 Performance (redmomnd), LLC Physical Therapist 17935 Ne 65th St, Redmond, WA 98052-4925 2017-12-18
1699299131 Kinjal J Joshi Physical Therapist 9445 Avondale Rd Ne Apt 106, Redmond, WA 98052-3377 2017-07-26
1023544939 Brittany Estuesta Physical Therapist 974 Sw Veterans Way Ste 4, Redmond, OR 97756-2564 2017-05-11
1538614573 Katelyn Marie Griffith Physical Therapist 9911 Willows Rd Ne Ste 100, Redmond, WA 98052-1024 2016-08-19
1770957722 Sravanthi Dasari Physical Therapist 18264 Ne 111th St, Redmond, WA 98052-2353 2015-11-13
1558778233 Meghan Biggs Physical Therapist 22500 Ne Marketplace Dr Ste 204, Redmond, WA 98053-2033 2014-07-15
1649606906 Mitchell Allen Luce Physical Therapist 4719 272nd Ave Ne, Redmond, WA 98053 2013-09-18
1487990958 Isha Saluja Physical Therapist 6525 139th Pl Ne Apt 33, Redmond, WA 98052-4501 2013-01-02
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City REDMOND
Zip Code 98052

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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