Kris L Carlson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00005058 Issued in WA

Practice address

306 36TH St
Sehome Village
Bellingham, WA 98225-6580

Phone

(360) 647-0444

Fax

(360) 650-1497

NPI assigned

Jul 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bellingham Physical Therapy LLC 11 clinicians

Cascadia Physical Therapy 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bellingham Physical Therapy, PLLC

  • Physical Therapist
  • Bellingham, WA
  • NPI 1023016102
  Medicare reassignment Care Compare group NPD
• Cascadia Physical Therapy

  • Orthopedic Physical Therapist
  • Bellingham, WA
  • NPI 1710285531

  WA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1306844451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 36TH ST",
            "address_2": "SEHOME VILLAGE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256580",
            "telephone_number": "360-647-0444",
            "fax_number": "360-650-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 36TH ST",
            "address_2": "SEHOME VILLAGE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256580",
            "telephone_number": "360-647-0444",
            "fax_number": "360-650-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "KRIS",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0124356",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8321374",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lance A Carlsen, RPH
• Lisa Joann Carlsen, MA, CBT, RBT
• Mia Isabella Carlson-Myers
• Heather C Carlson, LMP
• Jonathan James Carlson, N.D.
• Lynn Diane Carlson
• Misty Dawn Michelle Carlson, LMP
• Rachel K Carlson
• Carmen L Witte Leamprdh
• Amy Renee Carney, RN

• All providers in Bellingham, WA
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.