Carol M. Wick, PT Otrl, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00000742 Issued in WA

Legal business name

CAROL M. WICK, PT OTRL, PLLC

Practice address

2355 Griffin Ave
Suite D
Enumclaw, WA 98022-2434

Phone

(253) 709-0371

Fax

(360) 802-2345

NPI assigned

Nov 9, 2006

Last updated

Nov 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol M Wick, PT, OTRLNPI 1508857087

Title

Owner

Phone

(253) 709-0371

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol M Wick, PT, OTR/L

  • Physical Therapist
  • Enumclaw, WA
  • NPI 1508857087
  NPD (past) Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1053481705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38600 VEAZIE CUMBERLAND RD SE",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980227708",
            "telephone_number": "253-709-0371",
            "fax_number": "360-802-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 GRIFFIN AVE",
            "address_2": "SUITE D",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222434",
            "telephone_number": "253-709-0371",
            "fax_number": "360-802-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL M. WICK, PT OTRL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "WICK",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-709-0371",
        "authorized_official_credential": "PT, OTRL"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00000742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Allan Camp, MD
• Angelea Sloan Campeau, PHARMD
• Samuel E Cargill, MD
• Tricia Carlino, RN
• Cheryl Kay Carney, CNM
• Zoe Colada Carpenter, RN
• Cascade Therapy
• Lareina Castro
• Elizabeth Chevassus, RN
• Lori Lynn Chiefcalf

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.