Active NPI
Douglas W Free
- Physical Therapist
- Mercer Island, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00008195
- Practice address
- 7900 SE 28TH
#102
Mercer Island, WA 98040-6005 - Phone
- (206) 232-9045
- Fax
- (206) 232-8871
- NPI assigned
- Jul 17, 2006
- Last updated
- Jul 27, 2010
- Sex
- Male
- Sole proprietor
- No
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 | PT00008195 | WA | Primary |
Addresses
Primary practice location
7900 SE 28TH
#102
Mercer Island, WA 98040-6005
Mailing address
11711 NE 12TH St
#3A
Bellevue, WA 98005-2461
Phone (425) 450-9474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7060312 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
275 SW 160TH St
Suite 105
Burien, WA 98166-3003
Phone (206) 513-2155
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00008195 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Management Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Therapy Management Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Therapy Management Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Therapy Management Services, PLLC | Physical Therapist | Past | Accepting new patients |
Locations
11711 NE 12th St
Ste 3A
Bellevue, WA 98005
Phone (425) 454-1405
915 118th Ave SE
Ste 110
Bellevue, WA 98005
Phone (425) 243-6922
814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900
15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855
275 SW 160th St
Ste 105
Burien, WA 98166
Phone (206) 244-4263
12910 Totem Lake Blvd NE
Ste 105
Kirkland, WA 98034
Phone (425) 823-8631
19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991
7900 SE 28th St
Ste 102
Mercer Island, WA 98040
Phone (206) 232-9045
709 Cook Rd
Sedro Woolley, WA 98284
Phone (360) 873-8191
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.
-
- Physical Therapist
- Bellevue, WA
- NPI 1710330378
-
dba Northwest Physical Therapy Bellingham
- Durable Medical Equipment & Medical Supplies
- Bellingham, WA
- NPI 1023691169
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Puyallup, WA
- NPI 1225255318
Physical Therapist
-
- Physical Therapy Clinic/Center
- Burien, WA
- NPI 1780037689
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1225055767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11711 NE 12TH ST",
"address_2": "#3A",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052461",
"telephone_number": "425-450-9474",
"fax_number": "425-635-9340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 SE 28TH",
"address_2": "#102",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980406005",
"telephone_number": "206-232-9045",
"fax_number": "206-232-8871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREE",
"first_name": "DOUGLAS",
"middle_name": "W",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00008195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7060312",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mercer Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.