Connor Lavann Naccarato, DPT, MTC, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2909 S 12TH St
Tacoma, WA 98405-2540

Phone

(253) 722-9788

Fax

(253) 778-6992

NPI assigned

Aug 12, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physiostrength LLCGroup PAC ID 0143581785, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Physiostrength LLC

  • Physical Therapist
  • Tacoma, WA
  • NPI 1073025490
  Medicare reassignment Care Compare group NPD Authorized official
• Northwest Center for Sports Medicine & Physical Therapy, Inc.

  • Physical Therapist
  • Gig Harbor, WA
  • NPI 1982755070
  Medicare reassignment NPD
• Northwest Chiropractic, Inc.

  • Chiropractor
  • Federal Way, WA
  • NPI 1295855567
  Medicare reassignment NPD
• Northwest Center for Sports Medicine & Physical Therapy, Inc.

  • Physical Therapist
  • Tacoma, WA
  • NPI 1225582844
  NPD (past)

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1780138263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 S 12TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052540",
            "telephone_number": "253-336-2040",
            "fax_number": "253-778-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 S 12TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052540",
            "telephone_number": "253-722-9788",
            "fax_number": "253-778-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACCARATO",
        "first_name": "CONNOR",
        "middle_name": "LAVANN",
        "name_prefix": "Dr.",
        "credential": "DPT, MTC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-12",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Mysliwiec, M.D.
• Mystique Healthcare
• Edward Kyung-Rim NA, LMHCA
• Howard Benjamin Nabbefeld, VRC
• Karl Roa Nacalaban, PHARMD
• Rosemary Clare Naccarato, DPT
• Jeffrey L Nacht, MD
• Justin Nachtweit, EMJ
• Otto Ricardo Nadal, LCSW
• Kamran Naficy

• Physical Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.