Active NPI
Cole Brown, DPT
- Physical Therapist
- Mountlake Terrace, WA
National Provider Identifier
1114590965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4622
- Practice address
- 6601 220TH St SW Ste 1
Mountlake Terrace, WA 98043-2166 - Phone
- (425) 775-7274
- Fax
- (425) 775-0963
- NPI assigned
- Jul 20, 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 | 4622 | NV | Primary |
Addresses
Primary practice location
6601 220TH St SW Ste 1
Mountlake Terrace, WA 98043-2166
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
401 N Buffalo Dr Ste 120
Las Vegas, NV 89145-0397
Phone (702) 818-5000
Other practice location 2
3820 S Jones Blvd
Las Vegas, NV 89103-2228
Phone (702) 818-5000
Other practice location 3
9070 W Cheyenne Ave Ste 100
Las Vegas, NV 89129-8935
Phone (702) 818-5000
Other practice location 4
9005 S Pecos Rd
Henderson, NV 89074-7190
Phone (702) 818-5000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4622 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672099200000",
"number": "1114590965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 220TH ST SW STE 1",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980432166",
"telephone_number": "425-775-7274",
"fax_number": "425-775-0963"
}
],
"practiceLocations": [
{
"address_1": "401 N Buffalo Dr Ste 120",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891450397",
"country_code": "US",
"telephone_number": "702-818-5000",
"fax_number": "702-818-5001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3820 S Jones Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891032228",
"country_code": "US",
"telephone_number": "702-818-5000",
"fax_number": "702-818-5001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9070 W Cheyenne Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891298935",
"country_code": "US",
"telephone_number": "702-818-5000",
"fax_number": "702-818-5001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9005 S Pecos Rd",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890747190",
"country_code": "US",
"telephone_number": "702-818-5000",
"fax_number": "702-818-5001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "COLE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-20",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "4622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountlake Terrace, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.