Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578764387 Individual Practitioner Male Practitioner

Jonathan Robert Wall

Specialist • Bellevue, WA

Professional Overview & Biography Verified Profile Summary

Jonathan Wall is a registered healthcare professional specializing in Specialist in Bellevue, WA. Practice services are available at 12811 SE 38TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12811 Se 38th St

Bellevue, WA 980061326

Telephone 4253781800
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Bellevue, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.2 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
116 Specialists

Practicing in Bellevue, WA (2751 Statewide)

Telehealth Adoption Rate
1.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MA00015057

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
NPI 1023289618

Licensed Massage Practitioner

Isabella Deallah

Massage Therapist

NPI 1063206365
Antonio Carranza

Massage Therapist

NPI 1134686751
NPI 1174297105

Doctor of Chiropractic

Kimberly Koontz , LMP

Massage Therapist

NPI 1184148066

Licensed Massage Practitioner

Michael O'neal , LMT

Massage Therapist

NPI 1184309015

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 12811 SE 38TH ST, BELLEVUE, WA 980061326 (Tel: 4253781800)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2940 S FRONTENAC ST, SEATTLE, WA 981083790 (Tel: 2067231381)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JONATHAN WALL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #MA00015057 in WA)

🟢
Initial NPI Registration & Enumeration May 30, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578764387
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2940 S Frontenac St

Seattle, WA 981083790

Phone: 2067231381

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.