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NPISignal

Individual Healthcare Provider

Thomas Gerald Depuydt, M.D.

NPI Record: ActivePreventive Medicine — Sports Medicine
NPI1063441236
Kirkland, Washington

Provider's NPPES record last updated: September 11, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1063441236
Primary Specialty
Preventive Medicine — Sports Medicine
Practice Location
Kirkland, Washington
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:02 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Preventive Medicine

    Sports Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

    Taxonomy code 2083S0010X
  • Neuromusculoskeletal Medicine, Sports Medicine

    Allopathic & Osteopathic Physicians

    A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

    Taxonomy code 204C00000X
  • Family Medicine

    Adult Medicine

    Allopathic & Osteopathic Physicians

    The NUCC recommends this code not be used. Choose a more appropriate code.

    Taxonomy code 207QA0505X
  • Family Medicine

    Sports Medicine

    Allopathic & Osteopathic Physicians

    A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

    Taxonomy code 207QS0010X
  • Pediatrics

    Sports Medicine

    Allopathic & Osteopathic Physicians

    A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

    Taxonomy code 2080S0010X
  • Physical Medicine & Rehabilitation

    Sports Medicine

    Allopathic & Osteopathic Physicians

    A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

    Taxonomy code 2081S0010X

Provider-Reported License Information

Preventive Medicine (Washington)
MD00017432
Neuromusculoskeletal Medicine, Sports Medicine (Washington)
MD00017432
Family Medicine (Washington)
MD00017432
Family Medicine (Washington)
MD00017432
Pediatrics (Washington)
MD00017432
Physical Medicine & Rehabilitation (Washington)
MD00017432
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

12707 120th Ave Ne

Suite 203

Kirkland, Washington 98034-7500

Phone: (425) 820-1221

Record Information

Enumeration Date
July 1, 2006
Provider's NPPES Record Last Updated
September 11, 2025
NPISignal NPPES Dataset
August 2026

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