Fawn Coussens, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008823 Issued in WA

Practice address

4828 California Ave SW
Seattle, WA 98116-4415

Phone

(206) 632-0163

Fax

(206) 932-2353

NPI assigned

May 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kinetic Physical Therapy LLCGroup PAC ID 0446634679, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kinetic Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Seattle, WA
  • NPI 1023301868
  Medicare reassignment Care Compare group NPD Authorized official
• Cascade Dizziness and Balance Physical Therapy, LLC

  • Neurology Physical Therapist
  • Seattle, WA
  • NPI 1730477217
  NPD (past)
• Movement Systems Physical Therapy, P.S.

  • Physical Therapist
  • Seattle, WA
  • NPI 1659324051
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1144277948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 CALIFORNIA AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164415",
            "telephone_number": "206-632-0163",
            "fax_number": "206-932-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4828 CALIFORNIA AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164415",
            "telephone_number": "206-632-0163",
            "fax_number": "206-932-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSSENS",
        "first_name": "FAWN",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamaki Courtney, LPN
• Thomas Lukens Courtney, M.D.
• Will Griffin Courtney, LMP
• Timothee Cousin, DDS
• Lori Cousley, RN, BSN, PMH-BC
• Michael A. Coussens, PT
• Julie Couture Caplan
• Kelley Anne Couvillion, MS OTR/L
• Keira Covarrubias, MSW
• Stephanie Covel, RN CNOR RNFA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.