NPIMap

Organization Active NPI

Cascade Physical Therapy and Sports Clinic, Inc.

  • Physical Therapy Clinic/Center
  • Sedro Woolley, WA
National Provider Identifier
1386826709
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT00007080 Issued in WA
Legal business name
CASCADE PHYSICAL THERAPY AND SPORTS CLINIC, INC.
Practice address
210 Ferry St
Sedro Woolley, WA 98284-1411
Phone
(360) 856-4216
Fax
(360) 856-4217
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Richard K SchaferNPI 1467401463
Title
Physical Therapist/Owner
Phone
(360) 856-4216

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT00007080 WA Primary

Addresses

Primary practice location

210 Ferry St
Sedro Woolley, WA 98284-1411

Mailing address

210 Ferry St
Sedro Woolley, WA 98284-1411
Phone (360) 856-4216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080122000802 WA Part B Supplier - Clinic/Group Practice 8820179377 Receives reassigned benefits from 2 practitioners
Practice locations: Sedro Woolley, WA

National Provider Directory

National Provider Directory

Locations

210 Ferry St
Sedro Woolley, WA 98284
Phone (360) 856-4216

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1386826709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 FERRY ST",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841411",
            "telephone_number": "360-856-4216",
            "fax_number": "360-856-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 FERRY ST",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841411",
            "telephone_number": "360-856-4216",
            "fax_number": "360-856-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE PHYSICAL THERAPY AND SPORTS CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "SCHAFER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "360-856-4216"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00007080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.