C Bruce Parker

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

22757 72ND Ave S
Ste 102
Kent, WA 98032-2459

Phone

(253) 872-4118

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Granite State Physical Therapy Hooksett PLLCGroup PAC ID 1153321401, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Granite State Physical Therapy Hooksett PLLC

  • Physical Therapist
  • Hooksett, NH
  • NPI 1437218872
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629187356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 49TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163608",
            "telephone_number": "206-938-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22757 72ND AVE S",
            "address_2": "STE 102",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980322459",
            "telephone_number": "253-872-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "C BRUCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "PT00008848",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jimin Park-Reeves, D.M.D.
• Alcina J Park, DOT
• Hosan Park, D.D.S
• Paul Park
• Arkar Parker, AAC
• Kate Marie Parker
• Tracee Lee Parker, M.S.
• Vincent Parker
• Volodymyr Parkhomey, LMP
• Jessica Janea Parks, L.M.P

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.