Active NPI
Andrea Jesse Parker, DPT
- Physical Therapist
- Mukilteo, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 60386882
- Practice address
- 12121 Harbour Reach Dr
#100
Mukilteo, WA 98275-5314 - Phone
- (425) 493-8313
- Fax
- (425) 493-9614
- NPI assigned
- Jun 27, 2012
- Sex
- Female
- 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 | PT 60386882 | WA | Primary |
Addresses
Primary practice location
12121 Harbour Reach Dr
#100
Mukilteo, WA 98275-5314
Mailing address
10505 19TH Ave SE
Suite B
Everett, WA 98208-4280
Phone (408) 570-0510
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4020 136TH St NE
Suite 102 104
Marysville, WA 98271-7889
Phone (425) 512-8695
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 60386882 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Rehabilitation Associates, PLLC | Physical Therapist | Current | Accepting new patients |
| Cascade Rehabilitation Associates, PLLC | Physical Therapist | Current | Accepting new patients |
| Engineered Sports 2 PLLC | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Kent Physical Therapy & Sports Performance Center LLC | Past | Accepting new patients |
Locations
10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885
10505 19th Ave SE
Ste B
Everett, WA 98208
Phone (408) 570-0510
2205 Wall St
Everett, WA 98201
Phone (425) 512-8695
4020 136th St NE
Ste 102104
Marysville, WA 98271
Phone (425) 512-8695
12121 Harbour Reach Dr
Ste 100
Mukilteo, WA 98275
Phone (425) 354-5110
Organizations & group practices 5
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.
-
- Occupational Therapist
- Everett, WA
- NPI 1245361617
Physical Therapist
-
- Physical Therapist
- Marysville, WA
- NPI 1467056432
-
- Physical Therapist
- Mukilteo, WA
- NPI 1770359010
-
- Physical Therapy Clinic/Center
- Everett, WA
- NPI 1013107549
-
- Physical Therapist
- Bothell, WA
- NPI 1114376563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428278400000",
"number": "1295099976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10505 19TH AVE SE",
"address_2": "SUITE B",
"city": "EVERETT",
"state": "WA",
"postal_code": "982084280",
"telephone_number": "408-570-0510",
"fax_number": "408-945-4018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12121 HARBOUR REACH DR",
"address_2": "#100",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982755314",
"telephone_number": "425-493-8313",
"fax_number": "425-493-9614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "ANDREA",
"middle_name": "JESSE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-27",
"last_updated": "2015-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT 60386882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mukilteo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.