Destini Patrice Payton, DPT
Physical Therapist in Puyallup, WA. Individual provider (NPI-1).
NPI number1124724596
StatusActive
Last updated in NPPESNov 3, 2025
Details
- NPI
- 1124724596
- Entity type
- Individual (NPI-1)
- Name
- Destini Patrice Payton
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2023
- Certification date
- Nov 3, 2025
- Last updated
- Nov 3, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT61401056 | WA | Yes |
| 225100000X | Physical Therapist | CP050461T | GA |
Practice location
1707 3rd St SePuyallup, WA 98372-4506
Phone 253-841-3041 · Fax 253-841-3061
Mailing address
1650 Lyndon Farm Ct Ste 300Louisville, KY 40223-5005
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 225 Physical Therapist providers in Puyallup · All 4,232 providers in Puyallup
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