THEODORE SU DPT
NPI 1336814649
Physical Therapist in Bellevue, WA

Active since August 10, 2021Accepts Medicare Assignment
91.89/100
CMS Quality Rating
13425 SE 30TH ST STE 2C, BELLEVUE, WA 98005(425) 800-4488 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 15, 2023, Aug 10, 2021 (2 updates tracked since 2021).

About Theodore Su Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE SU DPT (NPI 1336814649) is an individual physical therapist in Bellevue, Washington, licensed in Washington (PT61382998) and active in the NPI registry since August 2021. He maintains a secondary practice location in Waltham and is a graduate of Other (2021).

NPPES Registry Identity

NPI1336814649
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameTHEODORE SUCredential: DPT
Location Address13425 SE 30TH ST STE 2CBellevue, WA 98005-4450
Mailing Address1300 W Sam Houston Pkwy S Ste 300Houston, TX 77042-2453 · (877) 234-8034 · Fax (713) 430-4046
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 10, 2021
Last NPPES UpdateMarch 15, 20232 updates tracked since enumeration
NPPES CertifiedMarch 15, 2023
NPI 1336814649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in WA · PT61382998
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

13425 SE 30TH ST STE 2C, Bellevue, WA 98005

Secondary Practice Location 1

Location 1431 River St Ste 4Waltham, MA 02453-5483 · Phone (781) 314-1000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Theodore Su Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658777842
PECOS Enrollment IDI20230419002599

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.46
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
13425 SE 30TH ST STE 2C
BELLEVUE, WA 98005
Physical Therapist
13425 SE 30TH ST STE 2C
BELLEVUE, WA 98005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Su's NPI number?

The NPI number for Theodore Su is 1336814649. It was assigned to this individual provider in the NPPES registry on August 10, 2021.

Where is Theodore Su located?

Theodore Su practices at 13425 SE 30th St Ste 2C, Bellevue, WA 98005. The listed phone number is (425) 800-4488.

What is Theodore Su's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Theodore Su enrolled in Medicare?

Yes. Theodore Su is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theodore Su accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Theodore Su as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Su was last updated on March 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.