Active NPI
Kevin Norris
- Physical Therapist
- Bothell, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60466591
- Practice address
- 17901 Bothell Everett Hwy Ste F-104
Bothell, WA 98012-6387 - Phone
- (425) 424-3924
- Fax
- (425) 424-3941
- NPI assigned
- Sep 12, 2014
- 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 | PT60466591 | WA | Primary |
Addresses
Primary practice location
17901 Bothell Everett Hwy Ste F-104
Bothell, WA 98012-6387
Mailing address
16083 SW Upper Boones Ferry Rd Ste 300
Tigard, OR 97224-7736
Phone (800) 219-8835
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2040088 | Medicaid | WA | |
| P01610738 | Other | WA | RR MEDICARE |
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17901 Everrett Hwy
Suite F104
Bothell, WA 98012
Phone (425) 424-3924
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Snohomish Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Everett Physical Therapy and Sport Performance Center PLLC | Current | Accepting new patients | |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Snohomish Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Everett Physical Therapy and Sport Performance Center PLLC | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Locations
16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153
1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052
2000 Hewitt Ave
Ste 115
Everett, WA 98201
Phone (425) 252-3908
10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166
403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835
18910 28th Ave W
Lynnwood, WA 98036
Phone (425) 775-5557
17901 Bothell Everett Hwy
Mill Creek, WA 98012
Phone (425) 424-3924
4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046
4250 Martin Way E
Ste 105
Olympia, WA 98516
Phone (360) 486-0640
5420 Barnes Ave NW
Seattle, WA 98107
Phone (206) 789-7975
1830 Bickford Ave
Ste 209
Snohomish, WA 98290
Phone (360) 568-7774
Interoperability endpoints
- kevin.norris.1@31414.direct.athenahealth.com
Organizations & group practices 11
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.
-
dba TAI Evergreen Physical Therapy
- Physical Therapist
- Spokane Valley, WA
- NPI 1497731244
-
- Physical Therapist
- Everett, WA
- NPI 1699713370
-
- Physical Therapy Clinic/Center
- Mill Creek, WA
- NPI 1154369833
Physical Therapist
-
- Physical Therapy Clinic/Center
- Snohomish, WA
- NPI 1487692398
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Bothell, WA
- NPI 1447047477
-
dba IRG Physical & Hand Therapy - Marysville
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Physical Therapist
-
dba IRG Physical Therapy of Canyon Park
- Occupational Therapist
- Bothell, WA
- NPI 1245696814
Physical Therapist
-
dba Therapeutic Associates, Inc. Northside Physical Therapy
- Physical Therapist
- Spokane, WA
- NPI 1790183853
-
dba TAI Cedar Hills Physical Therapy
- Physical Therapist
- Portland, OR
- NPI 1700862000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510531200000",
"number": "1316348030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16083 SW UPPER BOONES FERRY RD STE 300",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247736",
"telephone_number": "800-219-8835",
"fax_number": "503-639-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17901 BOTHELL EVERETT HWY STE F-104",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980126387",
"telephone_number": "425-424-3924",
"fax_number": "425-424-3941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-12",
"last_updated": "2017-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60466591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2040088",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01610738",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
- Adelle Grace Nolan, CPT
- Norah Care Homes LLC
- Stephanie Norby, LMT
- P Lynn Nordberg, PT
- Norman Bolosan, DDS, PC
- North Creek Retirement & Assisted Living Community LLC (North Creek Retirement & Assisted Living Community)
- North Lake Rheumatology, PLLC
- North Seattle Vision Care PLLC
- Northland Hearing Center, Inc. (A-Plus Hearing Aid Centers)
- Northshore Dental Center LLC (Northshore Dental Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.