Katie Carroll
Individual provider Active NPI Physical Therapist · Silverdale, WA
NPI 1316622210 · NPPES record last updated Jun 19, 2023
Key facts
- NPI
- 1316622210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT61413269 (WA)
- Practice address
- 2400 NW Myhre Rd Ste 102
Silverdale, WA 98383-7672 - Phone
- (360) 598-3764
- NPI assigned
- Jun 19, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kitsap Physical Therapy and Sports Clinic PS Inc
Practice addresses (Care Compare)
2400 NW Myhre Rd
Suite 102
Silverdale, WA 98383-7672
Phone (360) 613-1834
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230721002592 | WA | Practitioner - Physical Therapist in Private Practice | 2062872021 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT61413269 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Current |
Accepting new patients |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Current |
Accepting new patients |
Locations
2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764
2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT61413269 | WA | Yes |
Addresses
Primary practice location
2400 NW Myhre Rd Ste 102
Silverdale, WA 98383-7672
Mailing address
2400 NW Myhre Rd Ste 101
Silverdale, WA 98383-7672
Phone (360) 598-3764
Other providers in Silverdale, WA
- Justin Carlson
- Rebecca Simone Caro-Hetrick
- Amy Celeste Carolin
- Feilicia Maria Carr
- Julia M Carrington
- Heather Raye Carstens
- Adam Brent Cary
- Cascade Books & Cascade Recovery Center
- Marissa Case
- Megan Alissa Case
All providers in Silverdale, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.