Active NPI
Marcus B. Flexer, DPT
- Physical Therapist
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 60038308
- Practice address
- 1500 Continental PL
Mount Vernon, WA 98273-4105 - Phone
- (360) 424-7041
- Fax
- (360) 424-2456
- NPI assigned
- Aug 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 60038308 | WA | Primary |
Addresses
Primary practice location
1500 Continental PL
Mount Vernon, WA 98273-4105
Mailing address
1401 S Laventure Rd
Mount Vernon, WA 98274-6033
Phone (360) 424-7041
Other practice location 1
1401 S Laventure Rd
Mount Vernon, WA 98274-6033
Phone (360) 424-7041
Other practice location 2
1017 20th St
Anacortes, WA 98221-2505
Phone (360) 424-7041
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 368391 | Other | WA | WA LABOR & INDUSTRIES |
| 1092790 | Medicaid | WA |
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
190 W Dayton St
Suite 202
Edmonds, WA 98020-7221
Phone (425) 582-8118
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 60038308 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons, Inc., P.S | Current | Accepting new patients |
Locations
1017 20th St
Anacortes, WA 98221
Phone (360) 424-7041
7320 216th St SW
Ste 320
Edmonds, WA 98026
Phone (425) 673-3900
190 W Dayton St
Ste 202
Edmonds, WA 98020
Phone (425) 252-4700
1500 Continental Pl
Mount Vernon, WA 98273
Phone (360) 424-7041
1401 S Laventure Rd
Mount Vernon, WA 98274
Phone (360) 424-2400
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
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.
-
dba Proliance Surgeons Orthopedic Specialists of Seattle
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
dba Proliance Orthopedic Associates
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
dba Edmonds Orthopedic Center
- Physical Medicine & Rehabilitation Physician
- Mountlake Terrace, WA
- NPI 1326564790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1780832170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S LAVENTURE RD",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982746033",
"telephone_number": "360-424-7041",
"fax_number": "360-424-2456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CONTINENTAL PL",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982734105",
"telephone_number": "360-424-7041",
"fax_number": "360-424-2456"
}
],
"practiceLocations": [
{
"address_1": "1401 S Laventure Rd",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "WA",
"postal_code": "982746033",
"country_code": "US",
"telephone_number": "360-424-7041",
"fax_number": "360-424-2456",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1017 20th St",
"address_purpose": "LOCATION",
"city": "Anacortes",
"state": "WA",
"postal_code": "982212505",
"country_code": "US",
"telephone_number": "360-424-7041",
"fax_number": "360-424-2456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLEXER",
"first_name": "MARCUS",
"middle_name": "B.",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-28",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT 60038308",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LABOR & INDUSTRIES",
"identifier": "368391",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1092790",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.