NPIMap

Organization Active NPI

Circle Creek Therapy PLLC

  • Multi-Specialty Clinic/Center
  • Auburn, WA
National Provider Identifier
1326418310
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CIRCLE CREEK THERAPY PLLC
Practice address
1314 Auburn Way N
Auburn, WA 98002-4109
Phone
(253) 237-3405
Fax
(253) 426-3096
NPI assigned
Oct 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Mrs. Courtni D Doherty, MS, CCC-SLPNPI 1760851778
Title
Owner
Phone
(253) 237-3405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Hearing and Speech Clinic/Center 261QH0700X 603544948 WA
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1314 Auburn Way N
Auburn, WA 98002-4109

Mailing address

1314 Auburn Way N
Auburn, WA 98002-4109
Phone (253) 237-3405

Other practice location 1

110 2nd St SW
Suite 110
Auburn, WA 98001
Phone (253) 237-3405

Other identifiers 1

IdentifierTypeStateIssuer
20706086MedicaidWA

Other names 1

  • Circle Creek Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

110 2nd St SW
Ste 110
Auburn, WA 98001
Phone (253) 237-3405

1314 Auburn Way N
Auburn, WA 98002
Phone (253) 237-3405

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1326418310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 AUBURN WAY N",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024109",
            "telephone_number": "253-237-3405",
            "fax_number": "253-426-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 AUBURN WAY N",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024109",
            "telephone_number": "253-237-3405",
            "fax_number": "253-426-3096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 2nd St SW",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "98001",
            "country_code": "US",
            "telephone_number": "253-237-3405",
            "fax_number": "253-679-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CIRCLE CREEK THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "COURTNI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-237-3405",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "WA",
            "license": "603544948",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20706086",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Circle Creek Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Circle Creek Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.