Carol M Wick, PT, OTR/L

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00000742 Issued in WA

Practice address

2355 Griffin Ave
Suite D
Enumclaw, WA 98022-2440

Phone

(253) 709-0371

Fax

(360) 802-2345

NPI assigned

Nov 2, 2005

Last updated

Apr 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Carol M. Wick, PT Otrl, PLLC

  • Physical Therapist
  • Enumclaw, WA
  • NPI 1053481705
  NPD (past) Authorized official
• Family Physical Therapy and Sports Rehabilitation

  • Physical Therapist
  • Morton, WA
  • NPI 1992808240
  NPD (past)
• Mountain Physical Therapy and Sports Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Eatonville, WA
  • NPI 1740382050
  NPD (past)
• Olympic Sports and Spine Rehabilitation PS

  • Physical Therapist
  • Puyallup, WA
  • NPI 1558310375
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1508857087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38600 VEAZIE CUMBERLAND RD SE",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980227708",
            "telephone_number": "253-709-0371",
            "fax_number": "360-802-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 GRIFFIN AVE",
            "address_2": "SUITE D",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222440",
            "telephone_number": "253-709-0371",
            "fax_number": "360-802-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICK",
        "first_name": "CAROL",
        "middle_name": "M",
        "credential": "PT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00000742",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00000204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Werner, RDH
• Allison Carrie Wettstein
• Vicroria Ann Whisler, MA, LMFT
• White River Community Healthcare LLC (White River Assisted Living)
• White River MC Healthcare LLC (White River Memory Care)
• Carla J Wilbur
• Teri Wilcox, L.M.P., L.E.
• Tanya Marie Wilke, MD
• Ryan Willis, DPT
• Andrew N Willner, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.