NPIMap

Organization Active NPI

Cascade Rehabilitation Associates, LLC

  • Physical Therapist
  • Everett, WA
National Provider Identifier
1669540175
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00004034 Issued in WA
Legal business name
CASCADE REHABILITATION ASSOCIATES, LLC
Practice address
3726 Broadway
#104
Everett, WA 98201-3787
Phone
(425) 252-4600
Fax
(425) 252-4477
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Authorized official

Name
Mr. Patrick Lloyd McKilligan, PT PLLC
Title
Physical Therapist
Phone
(425) 252-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT00004034 WA Primary

Addresses

Primary practice location

3726 Broadway
#104
Everett, WA 98201-3787

Mailing address

10505 19TH Ave SE
Suite B
Everett, WA 98208-4280
Phone (425) 252-4600

National Provider Directory

National Provider Directory
Tax ID family
Bothell Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1669540175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 19TH AVE SE",
            "address_2": "SUITE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084280",
            "telephone_number": "425-252-4600",
            "fax_number": "425-252-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 BROADWAY",
            "address_2": "#104",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013787",
            "telephone_number": "425-252-4600",
            "fax_number": "425-252-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE REHABILITATION ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "MCKILLIGAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "425-252-4600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT PLLC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00004034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.