NPIMap

Organization Active NPI

Core Performance LLC

  • Physical Therapist
  • Bellingham, WA
National Provider Identifier
1003986233
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CORE PERFORMANCE LLC
Practice address
1514 12TH Street
Suite #103
Bellingham, WA 98225
Phone
(360) 752-2673
Fax
(360) 752-0271
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Elizabeth Marsh Hampton, PTNPI 1588743108
Title
Owner/Ceo
Phone
(360) 752-2673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X WA Primary

Addresses

Primary practice location

1514 12TH Street
Suite #103
Bellingham, WA 98225

Mailing address

1514 12TH Street
Suite #103
Bellingham, WA 98225
Phone (360) 752-2673

Other names 1

  • CorePhysio Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040929000927 WA Part B Supplier - Clinic/Group Practice 3577532290 Receives reassigned benefits from 13 practitioners
Practice locations: Bellingham, WA

National Provider Directory

National Provider Directory

Locations

1514 12th St
Ste 103
Bellingham, WA 98225
Phone (360) 752-2673

1825 Grant St
Ste 100
Bellingham, WA 98225
Phone (360) 752-2673

1825 Grant St
Bellingham, WA 98225
Phone 3607520271203

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1003986233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 12TH STREET",
            "address_2": "SUITE #103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "360-752-2673",
            "fax_number": "360-752-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 12TH STREET",
            "address_2": "SUITE #103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "360-752-2673",
            "fax_number": "360-752-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MARSH",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "360-752-2673",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CorePhysio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.