Individual provider Active NPI

Blair Callaghan, PT, DPT

  • Orthopedic Physical Therapist
  • Seattle, WA
National Provider Identifier
1750834487
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT871981 Issued in DC
Practice address
7900 E Green Lake Dr N Ste 204
Seattle, WA 98103-4819
Phone
(206) 985-2236
NPI assigned
Jul 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT871981 DC Primary

Addresses

Primary practice location

7900 E Green Lake Dr N Ste 204
Seattle, WA 98103-4819

Mailing address

7900 E Green Lake Dr N Ste 204
Seattle, WA 98103-4819
Phone (206) 985-2236

Other practice location 1

1100 H St NW
Suite LL-110
Washington, DC 20005-5476
Phone (202) 347-2375

Other practice location 2

25 Massachusetts Ave NW Ste C500
Washington, DC 20001-1430
Phone (202) 808-9496

Other identifiers 2

IdentifierTypeStateIssuer
PT871981OtherDCLICENSE
1750834487OtherNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211203002518 WA Practitioner - Physical Therapist in Private Practice 7810284304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18323 98TH Ave NE
Suite 1
Bothell, WA 98011-3358

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates, Inc. Orthopedic Current Accepting new patients
Physiotherapy Assoicates, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Physiotherapy Associates Inc CurrentSince Oct 1, 2021 Accepting new patients

Locations

18323 98th Ave NE
Ste 1
Bothell, WA 98011
Phone (425) 371-7070

463 Tremont St W
Ste 100
Port Orchard, WA 98366
Phone (360) 874-0745

23515 NE Novelty Hill Rd
Ste B213
Redmond, WA 98053
Phone (425) 868-5260

7900 E Green Lake Dr N
Ste 204
Seattle, WA 98103
Phone (206) 985-2236

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1750834487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 E GREEN LAKE DR N STE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034819",
            "telephone_number": "206-985-2236",
            "fax_number": "202-347-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 E GREEN LAKE DR N STE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034819",
            "telephone_number": "206-985-2236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 H St NW",
            "address_2": "Suite LL-110",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200055476",
            "country_code": "US",
            "telephone_number": "202-347-2375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Massachusetts Ave NW Ste C500",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200011430",
            "country_code": "US",
            "telephone_number": "202-808-9496",
            "fax_number": "202-813-3659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAGHAN",
        "first_name": "BLAIR",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-29",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "DC",
            "license": "PT871981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT871981",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750834487",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.