Active NPI
Terry Willard Cottrell, D.C.
- Chiropractor
- Issaquah, WA
National Provider Identifier
1043423783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002014
- Practice address
- 140 6TH Ave NE
Issaquah, WA 98027-3341 - Phone
- (425) 392-9490
- Fax
- (425) 427-6401
- NPI assigned
- May 8, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00002014 | WA | Primary |
Addresses
Primary practice location
140 6TH Ave NE
Issaquah, WA 98027-3341
Mailing address
6520 226TH PL SE
Suite# 203
Issaquah, WA 98027-8969
Phone (425) 392-9490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH00002014 | Other | WA | CHIROPRACTIC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
140 6TH Ave NE
Issaquah, WA 98027-3341
Phone (425) 392-9490
6520 226TH PL SE
Issaquah, WA 98027-8969
Phone (425) 392-9490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00002014 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cottrell Chiropractic PS | Chiropractor | Current | Accepting new patients |
| Wadsworth Psychiatric Services PLLC | Past | Accepting new patients |
Networks
- WA PPO C-SNP
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Issaquah, WA
- NPI 1578296323
-
- Psychiatric/Mental Health Nurse Practitioner
- Issaquah, WA
- NPI 1225566417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1043423783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6520 226TH PL SE",
"address_2": "SUITE# 203",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278969",
"telephone_number": "425-392-9490",
"fax_number": "425-427-6401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 6TH AVE NE",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980273341",
"telephone_number": "425-392-9490",
"fax_number": "425-427-6401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTRELL",
"first_name": "TERRY",
"middle_name": "WILLARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00002014",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE",
"identifier": "CH00002014",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.