Individual provider Active NPI

Cole Richmond Donovan

  • Physical Therapist
  • Mountlake Terrace, WA
National Provider Identifier
1356167720
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6601 220TH St SW Ste 1
Mountlake Terrace, WA 98043-2166
Phone
(425) 775-7274
NPI assigned
Dec 2, 2024
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT7107 ME
Physical Therapist 225100000X Primary

Addresses

Primary practice location

6601 220TH St SW Ste 1
Mountlake Terrace, WA 98043-2166

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

3 Brazier Ln
Kennebunk, ME 04043-7095
Phone (800) 385-2527

Other practice location 2

31 Union St
Vernon, CT 06066-3126
Phone (860) 872-5291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241226000824 WA Practitioner - Physical Therapist in Private Practice 7416484837 Reassigns benefits to 1 organization
I20251211001144 ME Practitioner - Physical Therapist in Private Practice 7416484837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

111 Ossipee TRL E
Suite 1151
Standish, ME 04084-6421
Phone (207) 642-5325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT7107MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc Physical Therapist Current Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

400 North St
#2
Saco, ME 04072
Phone (207) 282-7121

111 Ossipee Trl E
Ste 1151
Standish, ME 04084
Phone (207) 642-5325

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

6601 220th St SW
Mountlake Terrace, WA 98043

6601 220th St SW
Ste 1
Mountlake Terrace, WA 98043
Phone (425) 775-7274

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1356167720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 220TH ST SW STE 1",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432166",
            "telephone_number": "425-775-7274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Brazier Ln",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "040437095",
            "country_code": "US",
            "telephone_number": "800-385-2527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Union St",
            "address_purpose": "LOCATION",
            "city": "Vernon",
            "state": "CT",
            "postal_code": "060663126",
            "country_code": "US",
            "telephone_number": "860-872-5291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "COLE",
        "middle_name": "RICHMOND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-02",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT7107",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.