Individual provider Active NPI

Colin McDannel

  • Physical Therapist
  • Castro Valley, CA
National Provider Identifier
1639200454
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
43339 Issued in CA
Practice address
20996 Redwood Rd
Castro Valley, CA 94546-5918
Phone
(510) 537-0272
Fax
(510) 537-5819
NPI assigned
Mar 7, 2007
Last updated
Nov 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 43339 CA Primary

Addresses

Primary practice location

20996 Redwood Rd
Castro Valley, CA 94546-5918

Mailing address

20996 Redwood Rd
Castro Valley, CA 94546-5918
Phone (510) 537-0272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211007003006 WA Practitioner - Physical Therapist in Private Practice 0345517793 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Experience Physical TherapyGroup PAC ID 7214458843, 2 clinicians

Practice addresses (Care Compare)

12020 Meridian E
Suite a
Puyallup, WA 98373-3401
Phone (253) 303-1042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Physical Therapist CurrentSince Nov 10, 2023 Accepting new patients
Adeline Physical Therapy PLLC Physical Therapist Current Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 3, 2024 Accepting new patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Apr 29, 2025 Accepting new patients
Multicare Health System CurrentSince Nov 10, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients
Bay Mobile Physical Therapy Current Accepting new patients

Locations

11711 NE 12th St
Ste 3A
Bellevue, WA 98005
Phone (425) 454-1405

13555 SE 36th St
Ste 100
Bellevue, WA 98006

915 118th Ave SE
Ste 110
Bellevue, WA 98005
Phone (425) 243-6922

814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900

19110 Bothell Way NE
Ste 203
Bothell, WA 98011
Phone (425) 939-2806

15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855

275 SW 160th St
Ste 105
Burien, WA 98166
Phone (206) 244-4263

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991

400 Main Ave S
North Bend, WA 98045
Phone (425) 888-1156

1423 E Main
Puyallup, WA 98372
Phone (253) 697-2340

1707 3rd St SE
Puyallup, WA 98372
Phone (253) 200-2355

17528 Meridian E
Ste 205
Puyallup, WA 98375
Phone (253) 256-4807

3801 5th St SE
Ste 220
Puyallup, WA 98374
Phone (253) 445-4258

906 NE 45th St
Seattle, WA 98105
Phone (206) 347-0414

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1639200454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20996 REDWOOD RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465918",
            "telephone_number": "510-537-0272",
            "fax_number": "510-537-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20996 REDWOOD RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465918",
            "telephone_number": "510-537-0272",
            "fax_number": "510-537-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANNEL",
        "first_name": "COLIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.