Individual provider Active NPI

Carrie Morgan, PT, DPT

  • Physical Therapist
  • Enumclaw, WA
National Provider Identifier
1164297628
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61469775 Issued in WA
Practice address
856 Cole St # 103
Enumclaw, WA 98022-2549
Phone
(360) 825-2210
NPI assigned
Nov 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 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 61469775 WA Primary

Addresses

Primary practice location

856 Cole St # 103
Enumclaw, WA 98022-2549

Mailing address

718 Griffin Ave # 225
Enumclaw, WA 98022-3418
Phone (804) 387-3061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240105001912 WA Practitioner - Physical Therapist in Private Practice 2668823477 Reassigns benefits to 1 organization
I20260107000194 ME Practitioner - Physical Therapist in Private Practice 2668823477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Brunswick Physical Therapy PAGroup PAC ID 8426019621, 17 clinicians

Practice addresses (Care Compare)

727 Broadway
Bangor, ME 04401-3225
Phone (207) 573-3160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61469775WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physical Therapy PLLC Physical Therapist CurrentSince Dec 4, 2023 Accepting new patients
Greater Brunswick Physical Therapy P.a. Physical Therapist CurrentSince Nov 28, 2025 Accepting new patients

Locations

727 Broadway
Bangor, ME 04401
Phone (207) 573-3160

11 Bowdoin Mill Is
Ste 260
Topsham, ME 04086
Phone (207) 729-1164

856 Cole St
Ste 103
Enumclaw, WA 98022
Phone (360) 825-2210

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": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1164297628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 GRIFFIN AVE # 225",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223418",
            "telephone_number": "804-387-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 COLE ST # 103",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222549",
            "telephone_number": "360-825-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "CARRIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61469775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enumclaw, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.