Core Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CORE PHYSICAL THERAPY PC

Practice address

720 Olive Way Ste 900
Seattle, WA 98101-1840

Phone

(206) 623-2220

Fax

(206) 623-2228

NPI assigned

Jan 22, 2015

Organization subpart

No

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

Authorized official

Name

Paul De Beijl, PT, L.AC

Title

Owner

Phone

(206) 623-2220

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Core Physical Therapy PC

  dba Shoreline Physical Therapy

  • Physical Therapy Clinic/Center
  • Shoreline, WA
  • NPI 1134350945

  O20040428000334

  Same enrollment
• Core Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Seattle, WA
  • NPI 1356411011

  O20040428000334

  Same enrollment
• Core Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Seattle, WA
  • NPI 1528322203

  O20040428000334

  Same enrollment
• Core Physical Therapy PC

  dba Belltown Physical Therapy

  • Physical Therapy Clinic/Center
  • Seattle, WA
  • NPI 1568669406

  O20040428000334

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenna Catraell Crandall

  • Physical Therapy Assistant
  • Seattle, WA
  • NPI 1316316656
  NPD (past)

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1659760056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 OLIVE WAY STE 900",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011840",
            "telephone_number": "206-623-2220",
            "fax_number": "206-623-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 OLIVE WAY STE 900",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011840",
            "telephone_number": "206-623-2220",
            "fax_number": "206-623-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "DE BEIJL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-623-2220",
        "authorized_official_credential": "PT, L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Cordy, MD
• Dana Cordy, RDN
• Core Physical Therapy PC
• Core Physical Therapy PC
• Core Physical Therapy PC (Belltown Physical Therapy)
• Core Psychology Group PLLC
• David M Corella, LICSW
• Amy H. Corey, LICSW
• Jill Corey, ND
• Lawrence Corey

• Physical Therapy Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.