Active NPI
Patrick S McBride, DPT
- Physical Therapist
- Mount Vernon, WA
National Provider Identifier
1417957044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00009100
- Practice address
- 110 N Laventure Rd
Ste a
Mount Vernon, WA 98273-3901 - Phone
- (360) 428-2700
- Fax
- (360) 428-2701
- NPI assigned
- Jul 26, 2005
- Last updated
- Apr 23, 2008
- 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 | PT00009100 | WA | Primary |
Addresses
Primary practice location
110 N Laventure Rd
Ste a
Mount Vernon, WA 98273-3901
Mailing address
110 N Laventure Rd
Ste a
Mount Vernon, WA 98273-3901
Phone (360) 428-2700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7155104 | Medicaid | WA | |
| P00006691 | Other | WA | RAILROAD MEDICARE |
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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1186 S Burlington Blvd
Burlington, WA 98233-3314
Phone (360) 757-9018
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00009100 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burlington Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1186 S Burlington Blvd
Burlington, WA 98233
Phone (360) 757-9018
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.
-
- Physical Therapist
- Burlington, WA
- NPI 1881674497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1417957044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 N LAVENTURE RD",
"address_2": "STE A",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982733901",
"telephone_number": "360-428-2700",
"fax_number": "360-428-2701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N LAVENTURE RD",
"address_2": "STE A",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982733901",
"telephone_number": "360-428-2700",
"fax_number": "360-428-2701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "PATRICK",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00009100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7155104",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00006691",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.