Active NPI
Andrew McCarthy
- Physical Therapist
- Lynnwood, WA
National Provider Identifier
1013596519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4320 196TH St SW Ste D
Lynnwood, WA 98036-6753 - Phone
- (425) 774-8758
- NPI assigned
- Apr 3, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4320 196TH St SW Ste D
Lynnwood, WA 98036-6753
Mailing address
4320 196TH St SW Ste D
Lynnwood, WA 98036-6753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617408000000",
"number": "1013596519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4320 196TH ST SW STE D",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 196TH ST SW STE D",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366753",
"telephone_number": "425-774-8758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-03",
"last_updated": "2021-04-03",
"certification_date": "2021-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.