Corey M O'Malley PT, DPT, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

COREY M O'MALLEY PT, DPT, PLLC

Doing business as

Gnome Physical Therapy

Practice address

17306 Smokey Point Dr Ste 19
Arlington, WA 98223-4707

Phone

(425) 307-1335

Fax

(425) 307-1422

NPI assigned

Jul 15, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Corey Michael O'Malley, DPT, SCS, CSCSNPI 1023524154

Title

Owner/Physical Therapist

Phone

(425) 307-1335

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Gnome Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Corey Michael Omalley, DPT, SCS, CSCS

  • Physical Therapist
  • Arlington, WA
  • NPI 1023524154
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1386252484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12707 120TH AVE NE STE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347500",
            "telephone_number": "480-201-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17306 SMOKEY POINT DR STE 19",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982234707",
            "telephone_number": "425-307-1335",
            "fax_number": "425-307-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY M O'MALLEY PT, DPT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "O'MALLEY",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "425-307-1335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, SCS, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR COREY O'MALLEY",
            "identifier": "1023524154",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE PT LICENSE",
            "identifier": "PT60819888",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2094172",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gnome Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gnome Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas W. Conger, L.M.H.C
• Evie Louise Cook, RD
• Ray Robert Cook III
• Shealene J Cook, LMT
• Jana Rosenberg Cooke, M.D.
• Tara Marie Cornehl, LMP
• Courageous Counseling and Wellness PLLC
• Shanon Lee Cox, MA, LMHC
• Kristina D Coyle, LICSW
• William H Coyne, M.D.

• Physical Therapist in Arlington, WA
• Providers in Arlington, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.