Individual provider Active NPI

Pandora Lydia Drossos, PT, DPT

  • Physical Therapist
  • Bellingham, WA
National Provider Identifier
1205976800
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60180145 Issued in WA
Practice address
1704 N State St
Bellingham, WA 98225-4605
Phone
(360) 207-4488
Fax
(360) 485-0505
NPI assigned
Feb 6, 2007
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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 PT60180145 WA Primary

Addresses

Primary practice location

1704 N State St
Bellingham, WA 98225-4605

Mailing address

1704 N State St
Bellingham, WA 98225-4605
Phone (360) 207-4488

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110103000973 WA Practitioner - Physical Therapist in Private Practice 9638279177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Momenta Health PLLCGroup PAC ID 9739511981, 6 clinicians

Practice addresses (Care Compare)

1756 Iowa St
Bellingham, WA 98229-4702
Phone (360) 207-4488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60180145WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Momenta Health PLLC Physical Therapist CurrentSince May 17, 2022 Accepting new patients
Excel Physical Therapy Inc Past Accepting new patients
Moochler Physical Therapy, PC Physical Therapist Past Accepting new patients
Adich Clinic, P.S. Past Accepting new patients

Locations

1704 N State St
Bellingham, WA 98225
Phone (360) 207-4488

1756 Iowa St
Bellingham, WA 98229
Phone (360) 207-4488

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1205976800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 N STATE ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254605",
            "telephone_number": "360-207-4488",
            "fax_number": "360-485-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 N STATE ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254605",
            "telephone_number": "360-207-4488",
            "fax_number": "360-485-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROSSOS",
        "first_name": "PANDORA",
        "middle_name": "LYDIA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60180145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.