Individual provider Active NPI

Gordon Lewis Browne, PT

  • Orthopedic Physical Therapist
  • Camano Island, WA
National Provider Identifier
1356480990
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
00003010 Issued in WA
Practice address
290 Burke Dr
Camano Island, WA 98282-8637
Phone
(206) 930-9204
NPI assigned
Feb 6, 2007
Last updated
Sep 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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 200624977 WA
Orthopedic Physical Therapist 2251X0800X 00003010 WA Primary

Addresses

Primary practice location

290 Burke Dr
Camano Island, WA 98282-8637

Mailing address

290 Burke Dr
Camano Island, WA 98282-8637
Phone (206) 930-9204

Other practice location 1

2661 Bel Red Rd
#201
Bellevue, WA 98008-2200
Phone (360) 867-0839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00003010WAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Matters Inc. Physical Therapist CurrentSince Aug 5, 2008 Accepting new patients

Locations

2661 Bel Red Rd
#201
Bellevue, WA 98008
Phone (360) 867-0839

2661 Bel Red Rd
#207
Bellevue, WA 98008
Phone (425) 867-0839

Organizations & group practices 1

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1356480990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BURKE DR",
            "city": "CAMANO ISLAND",
            "state": "WA",
            "postal_code": "982828637",
            "telephone_number": "206-930-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 BURKE DR",
            "city": "CAMANO ISLAND",
            "state": "WA",
            "postal_code": "982828637",
            "telephone_number": "206-930-9204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2661 Bel Red Rd",
            "address_2": "#201",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980082200",
            "country_code": "US",
            "telephone_number": "360-867-0839",
            "fax_number": "360-867-0849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWNE",
        "first_name": "GORDON",
        "middle_name": "LEWIS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "200624977",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "00003010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camano Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.