Individual provider Active NPI

Cara Prange, PT

  • Physical Therapist
  • Bellevue, WA
National Provider Identifier
1043817695
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61079237 Issued in WA
Practice address
11511 NE 10TH St
Bellevue, WA 98004-8578
Phone
(800) 995-5658
Fax
(844) 620-1839
NPI assigned
Oct 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT61079237 WA Primary

Addresses

Primary practice location

11511 NE 10TH St
Bellevue, WA 98004-8578

Mailing address

16083 SW Upper Boones Ferry Rd Ste 300
Tigard, OR 97224-7736
Phone (503) 443-6156

Other practice location 1

14711 Fryelands Blvd SE
Monroe, WA 98272-2949
Phone (360) 794-4892

Other practice location 2

3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 339-5419

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201030000149 WA Practitioner - Physical Therapist in Private Practice 3870903941 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaiser Foundation Health Plan of WashingtonGroup PAC ID 9032022579, 1,519 clinicians

Practice addresses (Care Compare)

11511 NE 10TH St
Bellevue, WA 98004-8578
Phone (425) 502-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Apr 5, 2023 Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 14, 2023 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 1, 2024 Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Sep 15, 2020 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Sep 15, 2020 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 1, 2024 Accepting new patients
Therapeutic Associates Inc Physical Therapist Current Accepting new patients
Optum Care Washington PLLC CurrentSince Aug 14, 2023 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Optum Care Washington PLLC CurrentSince Aug 14, 2023 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153

13555 SE 36th St
Ste 100
Bellevue, WA 98006

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

11511 NE 10th St
Hunts Point, WA 98004
Phone (425) 502-3000

1408 N Louisiana St
Ste 104A
Kennewick, WA 99336
Phone (509) 783-1962

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

17901 Bothell Everett Hwy
Mill Creek, WA 98012
Phone (425) 424-3924

14711 Fryelands Blvd SE
Ste 153
Monroe, WA 98272
Phone (360) 794-4892

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

5420 Barnes Ave NW
Seattle, WA 98107
Phone (206) 789-7975

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

17700 SE Mill Plain Blvd
Ste 150
Vancouver, WA 98683
Phone (360) 514-9383

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1043817695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD STE 300",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247736",
            "telephone_number": "503-443-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 NE 10TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980048578",
            "telephone_number": "800-995-5658",
            "fax_number": "844-620-1839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14711 Fryelands Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WA",
            "postal_code": "982722949",
            "country_code": "US",
            "telephone_number": "360-794-4892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3927 Rucker Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982014833",
            "country_code": "US",
            "telephone_number": "425-339-5419",
            "fax_number": "425-339-4219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRANGE",
        "first_name": "CARA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61079237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "11511 NE 10th St",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980048578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.

Verify at the official NPI Registry.