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

Katelin Christina Wisenor

Individual provider Physical Therapist · NPI 1588494082

Katelin Christina Wisenor is a Physical Therapist in Private Practice in Bellevue, Washington. Qualified in 2024, 2 years ago. Practices with Washington Luna Care Physical Therapy LLC, a 162-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2024
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Practice location Address checks out

14028 NE Bel Red Rd
Bellevue, WA 98007-3913
Phone: (304) 506-3876
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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 PT.PT.61586970 (WA)

Record details

NPI number1588494082
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 7, 2024
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Washington Luna Care Physical Therapy Llc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bellevue