NPIMap

Individual provider Active NPI

Carey Louise Neves, PHYSICAL THERAPIST

  • Physical Therapist
  • Oak Harbor, WA
National Provider Identifier
1225118961
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00009610 Issued in WA
Practice address
210 SE Pioneer Way Ste 2
Oak Harbor, WA 98277-5705
Phone
(360) 679-8600
Fax
(360) 679-8554
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00009610 WA Primary
Physical Therapist 225100000X 2012 OR

Addresses

Primary practice location

210 SE Pioneer Way Ste 2
Oak Harbor, WA 98277-5705

Mailing address

210 SE Pioneer Way Ste 2
Oak Harbor, WA 98277-5705
Phone (360) 679-8600

Other identifiers 1

IdentifierTypeStateIssuer
230954MedicaidOR

Other names 1

  • Carey Louise Neves Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Silverton Rehab LLC Past Accepting new patients
Jackson County Physical Therapy LLP Physical Therapist Past Accepting new patients
Harada Physical Therapy & Rehab Services Inc., P.S. Physical Therapist PastSince May 28, 2012 Accepting new patients

Organizations & group practices 3

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335484800000",
    "number": "1225118961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SE PIONEER WAY STE 2",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775705",
            "telephone_number": "360-679-8600",
            "fax_number": "360-679-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SE PIONEER WAY STE 2",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775705",
            "telephone_number": "360-679-8600",
            "fax_number": "360-679-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVES",
        "first_name": "CAREY",
        "middle_name": "LOUISE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009610",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "2012",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230954",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAREY",
            "last_name": "NEVES",
            "middle_name": "LOUISE",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.