Individual provider Active NPI

Calen Shula, DPT

  • Physical Therapist
  • Lake Stevens, WA
National Provider Identifier
1124404132
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60548361 Issued in WA
Practice address
1819 S Lake Stevens Rd
Ste E
Lake Stevens, WA 98258-2060
Phone
(425) 334-1122
Fax
(425) 334-1188
NPI assigned
Aug 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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 PT60548361 WA Primary

Addresses

Primary practice location

1819 S Lake Stevens Rd
Ste E
Lake Stevens, WA 98258-2060

Mailing address

1819 S Lake Stevens Rd
Ste E
Lake Stevens, WA 98258-2060
Phone (425) 334-1122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151021000640 WA Practitioner - Physical Therapist in Private Practice 0244549988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NSPT IncGroup PAC ID 5698850295, 26 clinicians

Practice addresses (Care Compare)

1409 Ave D
Snohomish, WA 98290-1713
Phone (360) 453-7933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60548361WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NSPT, Inc. Physical Therapist CurrentSince Aug 4, 2015 Accepting new patients
NSPT, Inc. Physical Therapist CurrentSince Aug 4, 2015 Accepting new patients

Locations

231 91st Ave NE
#160
Lake Stevens, WA 98258
Phone (425) 334-1122

1819 S Lake Stevens Rd
Unit E
Lake Stevens, WA 98258
Phone (425) 334-1122

9501 5th Ave NE
Seattle, WA 98115
Phone (206) 522-7141

1409 Avenue D
Snohomish, WA 98290
Phone (360) 453-7933

27500 102nd Ave NW
Ste 1
Stanwood, WA 98292
Phone (360) 629-7528

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.

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1124404132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 S LAKE STEVENS RD",
            "address_2": "STE E",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982582060",
            "telephone_number": "425-334-1122",
            "fax_number": "425-334-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 S LAKE STEVENS RD",
            "address_2": "STE E",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982582060",
            "telephone_number": "425-334-1122",
            "fax_number": "425-334-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULA",
        "first_name": "CALEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60548361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.