Individual provider · Type 1 NPI

Thomas Gerald Depuydt, MD

Sports Medicine (Preventive Medicine) Physician · Kirkland, WA

NPI number 1063441236 Active

Practice location

12707 120th Ave NE, Suite 203
Kirkland, WA 98034-7500

Fax (425) 821-9362

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000XMD00017432 (WA)
Adult Medicine Physician 207QA0505XMD00017432 (WA)
Sports Medicine (Family Medicine) Physician 207QS0010XMD00017432 (WA)
Pediatric Sports Medicine Physician 2080S0010XMD00017432 (WA)
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010XMD00017432 (WA)
Sports Medicine (Preventive Medicine) Physician Primary 2083S0010XMD00017432 (WA)

Sports Medicine (Preventive Medicine) Physician: A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

11 other providers at this address

About NPI 1063441236

Thomas Gerald Depuydt, MD's National Provider Identifier is 1063441236, issued on Jul 1, 2006. The primary taxonomy on file is Sports Medicine (Preventive Medicine) Physician (2083S0010X), and the practice location is in Kirkland, WA. The record was last updated on Sep 11, 2025.