Active NPI
Colin Moran, ATC
- Physical Therapist
- Marysville, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61442220
- Practice address
- 3719 88TH St NE Ste a
Marysville, WA 98270-7228 - Phone
- (360) 659-9621
- NPI assigned
- Feb 19, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2000050565 | ||
| Nurse's Aide | 376K00000X | 353331 | MT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | OR | ||
| Physical Therapist | 225100000X | 61442220 | WA | Primary |
Addresses
Primary practice location
3719 88TH St NE Ste a
Marysville, WA 98270-7228
Mailing address
923 112TH St SW Apt D320
Everett, WA 98204-7870
Phone (406) 480-0477
Other practice location 1
923 112th St SW Apt D320
Everett, WA 98204-7870
Phone (406) 480-0477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 W McGraw St
Seattle, WA 98199-3208
Phone (206) 281-7970
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61442220 | WA | MD | Physical Therapist |
| 353331 | MT | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manual Therapy International Professional Services PLLC | Physical Therapist | Current | Accepting new patients |
| Cascade Rehabilitation Associates, PLLC | Physical Therapist | Current | Accepting new patients |
| Summit Rehabilitation PLLC | Current | Accepting new patients | |
| Summit Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
| Summit Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
| Cascade Rehabilitation Associates, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
3710 168th St NE
Ste A102
Arlington, WA 98223
Phone (360) 226-5151
1560 140th Ave NE
Ste 100
Bellevue, WA 98005
Phone (425) 746-2475
10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885
9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327
3719 88th St NE
Ste A
Marysville, WA 98270
Phone (360) 659-9621
3200 W McGraw St
Seattle, WA 98199
Phone (206) 281-7970
Organizations & group practices 6
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.
-
- Physical Therapist
- Bellevue, WA
- NPI 1871654475
-
- Occupational Therapist
- Everett, WA
- NPI 1245361617
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Lake Stevens, WA
- NPI 1558492934
Physical Therapist
-
- Physical Therapist
- Mukilteo, WA
- NPI 1770359010
-
- Physical Therapy Clinic/Center
- Lake Stevens, WA
- NPI 1013648153
-
- Physical Therapist
- Everett, WA
- NPI 1760374771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1659837292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 112TH ST SW APT D320",
"city": "EVERETT",
"state": "WA",
"postal_code": "982047870",
"telephone_number": "406-480-0477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3719 88TH ST NE STE A",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982707228",
"telephone_number": "360-659-9621"
}
],
"practiceLocations": [
{
"address_1": "923 112th St SW Apt D320",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982047870",
"country_code": "US",
"telephone_number": "406-480-0477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORAN",
"first_name": "COLIN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-19",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": "2000050565",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MT",
"license": "353331",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "61442220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.