Active NPI
Catherine Clarite Campo, P.T. ASSISTANT
- Physical Therapy Assistant
- Shoreline, WA
National Provider Identifier
1245569565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- P160129470
- Practice address
- 1250 NE 145TH St
Shoreline, WA 98155-7134 - Phone
- (206) 957-8818
- NPI assigned
- Dec 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 005808 | NY | |
| Physical Therapy Assistant | 225200000X | P160129470 | WA | Primary |
Addresses
Primary practice location
1250 NE 145TH St
Shoreline, WA 98155-7134
Mailing address
20318 Bothell Everett Hwy
A204
Bothell, WA 98012-7156
Phone (425) 949-5469
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P160129470 | WA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332115200000",
"number": "1245569565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20318 BOTHELL EVERETT HWY",
"address_2": "A204",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980127156",
"telephone_number": "425-949-5469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 NE 145TH ST",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981557134",
"telephone_number": "206-957-8818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPO",
"first_name": "CATHERINE",
"middle_name": "CLARITE",
"name_prefix": "Ms.",
"credential": "P.T. ASSISTANT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-15",
"last_updated": "2012-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "005808",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WA",
"license": "P160129470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.