Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kasih Deneb Tatum, DPT

Individual provider Physical Therapist · NPI 1225776743

Kasih Deneb Tatum, DPT is a Physical Therapist in Private Practice in Bellevue, Washington. Qualified in 2020, 6 years ago. Practices with Summit Rehabilitation PLLC, a 54-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Licensed in
WA
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

11711 NE 12th St Ste 3A
Bellevue, WA 98005-2461
Phone: (360) 658-8400
Fax: (360) 658-2606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT61178441 (WA)

Record details

NPI number1225776743
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedMay 24, 2022
Last updated in NPPESMay 24, 2022
Certification dateMay 24, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Summit Rehabilitation Pllc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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