IndividualActive

Thomas Depuydt, M.D.

NPI 1063441236 · Sports Medicine (Preventive Medicine) Physician · Kirkland, WA

Provider details

NPI number: 1063441236
Entity type: Individual
Primary specialty: Sports Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: MD00017432 (WA)

Sports Medicine (Preventive Medicine) PhysicianPrimary2083S0010XLicense MD00017432 (WA)
Allopathic & Osteopathic Physicians
Sports Medicine (Neuromusculoskeletal Medicine) Physician204C00000XLicense MD00017432 (WA)
Allopathic & Osteopathic Physicians
Adult Medicine Physician207QA0505XLicense MD00017432 (WA)
Allopathic & Osteopathic Physicians
Sports Medicine (Family Medicine) Physician207QS0010XLicense MD00017432 (WA)
Allopathic & Osteopathic Physicians
Pediatric Sports Medicine Physician2080S0010XLicense MD00017432 (WA)
Allopathic & Osteopathic Physicians
Sports Medicine (Physical Medicine & Rehabilitation) Physician

12707 120th Ave Ne

Suite 203

Kirkland, WA 98034-7500

Phone: (425) 820-1221

Fax: (425) 821-9362

Approximate (ZIP-level) locationGet directions

12707 120th Ave Ne

Kirkland, WA 98034-7500

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.