Corpore Sano LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5791 Issued in WA

Legal business name

CORPORE SANO LLC

Practice address

6161 NE 175TH St
Ste 203
Kenmore, WA 98028-4800

Phone

(425) 482-2453

Fax

(425) 482-2452

NPI assigned

May 14, 2008

Last updated

May 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erik Moen, PTNPI 1356479620

Title

Owner

Phone

(425) 482-2453

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erik Moen, PT

  • Specialist
  • Kenmore, WA
  • NPI 1356479620
  NPD (past) Authorized official
• Scott Arthur McClave

  • Physical Therapist
  • Kenmore, WA
  • NPI 1992109615
  NPD (past)
• Susan Roley, DPT

  • Specialist
  • Kenmore, WA
  • NPI 1982994885
  NPD (past)

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1730356122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 NE 175TH ST",
            "address_2": "STE 203",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284800",
            "telephone_number": "425-482-2453",
            "fax_number": "425-482-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 NE 175TH ST",
            "address_2": "STE 203",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284800",
            "telephone_number": "425-482-2453",
            "fax_number": "425-482-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORE SANO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "MOEN",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-482-2453",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "5791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Midwives of Western Washington, PLLC (Community Midwives)
• Michael Joseph Conway, D.D.S.
• Ashley Megan Cook, RN, BSN
• Marcus Coplin, ND
• Marcy Corona, LMT
• Kathleen E Cotton, RPH
• Grace Marie Coughlin
• Terry S Courtney, L.AC.
• Charles Ronald Coverdale, O.D.
• Crescent Home Care Inc.

• Physical Therapy Clinic/Center in Kenmore, WA
• Providers in Kenmore, 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 May 14, 2008; 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.