Fidalgo Functional Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FIDALGO FUNCTIONAL PHYSICAL THERAPY

Practice address

1813 O Ave
Anacortes, WA 98221-2344

Phone

(360) 588-8705

Fax

(360) 588-0406

NPI assigned

Mar 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Malcolm Douglas McPhee, DPTNPI 1306207055

Title

Owner

Phone

(360) 588-8075

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• McPhee Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 3

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

• Malcolm Douglas McPhee, DPT

  • Physical Therapist
  • Anacortes, WA
  • NPI 1306207055
  Medicare reassignment NPD Authorized official
• Jonathan Harold Hanson, P.T.

  • Physical Therapist
  • Anacortes, WA
  • NPI 1982799219
  NPD (past)
• Paul Theodore Sherman, P.T.

  • Physical Therapist
  • Anacortes, WA
  • NPI 1649332065
  NPD (past)

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1023579554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 O AVE",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212344",
            "telephone_number": "360-588-8705",
            "fax_number": "360-588-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 O AVE",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212344",
            "telephone_number": "360-588-8705",
            "fax_number": "360-588-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDALGO FUNCTIONAL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "MCPHEE",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-588-8075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2070154",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McPhee Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family Care Network PLLC
• Family Care Network PLLC
• Melvin L Farnsworth, O.D.
• Helena Louise Fenters
• Kylee Fick, MSW
• Fidalgo Island Chiropractic Clinic
• Fidalgo Island Pediatric Occupational Therapy Services PLLC
• Fidalgo Island Walk-in Clinic
• Fidalgo Medical Associates PLLC
• Fidalgo Pharmacy Services, Inc

• Physical Therapist in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.