Carissa Ann Conrad, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT60062790 Issued in WA

Practice address

834 Sheridan St
Port Townsend, WA 98368-2443

Phone

(360) 379-9259

NPI assigned

Nov 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Washington School of Medicine, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Amy L Mara, PT

  • Physical Therapist
  • Port Townsend, WA
  • NPI 1700804481
  Medicare reassignment
• Commencement Bay Chiropractic PS

  dba Port Townsend Chiropractic Center

  • Chiropractor
  • Port Townsend, WA
  • NPI 1740376912
  NPD
• Esrc PLLC

  dba Eastside Sports Rehab

  • Physical Therapy Clinic/Center
  • Bellevue, WA
  • NPI 1699796755
  NPD (past)
• Washington Physical Therapy and Rehabilitation LLC

  • Physical Therapist
  • Kirkland, WA
  • NPI 1528147303
  NPD (past)

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1467607507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 SHERIDAN ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682443",
            "telephone_number": "360-379-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 SHERIDAN ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682443",
            "telephone_number": "360-379-9259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16007 NE 8th St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980083914",
            "country_code": "US",
            "telephone_number": "425-576-8180",
            "fax_number": "425-828-7840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37624 SE Fury St Ste C201",
            "address_purpose": "LOCATION",
            "city": "Snoqualmie",
            "state": "WA",
            "postal_code": "98065",
            "country_code": "US",
            "telephone_number": "425-292-0223",
            "fax_number": "425-292-9225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "CARISSA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT60062790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan E Cole, L.M.P.
• Jonathan Collin, MD
• Anne Domonoske Colvin, BSN
• Michael Colvin, BSN
• Commencement Bay Chiropractic PS (Port Townsend Chiropractic Center)
• Laura Cook
• Teslyn Jean Cooper
• Christine Rummer Copeland, PHD
• Patricia Copeland
• Taylor Corrigan

• Orthopedic Physical Therapist in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.

Verify at the official NPI Registry.