Active NPI
Chancellor B Norris, DPT
- Physical Therapist
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00010228
- Practice address
- 3900 Broadway
Everett, WA 98201-5033 - Phone
- (425) 385-7352
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00010228 | WA | Primary |
Addresses
Primary practice location
3900 Broadway
Everett, WA 98201-5033
Mailing address
200 E Fremont St
Monroe, WA 98272-2336
Phone (360) 804-2604
Other practice location 1
1819 S Lake Stevens Rd Unit E
Lake Stevens, WA 98258-2060
Phone (425) 334-1122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27500 102ND Ave NW
Suite 1
Stanwood, WA 98292-8092
Phone (360) 629-9768
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00010228 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSPT, Inc. | Physical Therapist | Current | Accepting new patients |
| NSPT, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
1819 S Lake Stevens Rd
Unit E
Lake Stevens, WA 98258
Phone (425) 334-1122
4420 106th St SW
Mukilteo, WA 98275
Phone (425) 212-1810
27500 102nd Ave NW
Ste 1
Stanwood, WA 98292
Phone (360) 629-7528
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1396757274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E FREMONT ST",
"city": "MONROE",
"state": "WA",
"postal_code": "982722336",
"telephone_number": "360-804-2604",
"fax_number": "360-804-2569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 BROADWAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982015033",
"telephone_number": "425-385-7352"
}
],
"practiceLocations": [
{
"address_1": "1819 S Lake Stevens Rd Unit E",
"address_purpose": "LOCATION",
"city": "Lake Stevens",
"state": "WA",
"postal_code": "982582060",
"country_code": "US",
"telephone_number": "425-334-1122",
"fax_number": "425-334-1188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORRIS",
"first_name": "CHANCELLOR",
"middle_name": "B",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00010228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.