Individual provider Active NPI

Erin N Coomer, DPT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1790811735
Registry record updated Apr 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60277365 Issued in WA
Practice address
106 Lakeside Ave
Seattle, WA 98122-6542
Phone
(206) 465-5650
Fax
(206) 257-5562
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60277365 WA Primary

Addresses

Primary practice location

106 Lakeside Ave
Seattle, WA 98122-6542

Mailing address

3808 E Superior St
Seattle, WA 98122-6566
Phone (206) 601-0174

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120711000540 WA Practitioner - Physical Therapist in Private Practice 6800051152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Northwestern University Feinberg Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Run Seattle Physical Therapy PLLCGroup PAC ID 9638431372, 4 clinicians

Practice addresses (Care Compare)

106 Lakeside Ave
Seattle, WA 98122-6542
Phone (206) 465-5650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Jun 22, 2015 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jun 22, 2015 Accepting new patients
Run Seattle Physical Therapy PLLC CurrentSince Aug 26, 2015 Accepting new patients
The Parkinson's Fitness Project PLLC CurrentSince Feb 1, 2018 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1188 106th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 454-4864

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

106 Lakeside Ave
Seattle, WA 98122
Phone (206) 465-5650

901 Boren Ave
Ste 410
Seattle, WA 98104
Phone (206) 447-1570

Organizations & group practices 4

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491091200000",
    "number": "1790811735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 E SUPERIOR ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226566",
            "telephone_number": "206-601-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LAKESIDE AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226542",
            "telephone_number": "206-465-5650",
            "fax_number": "206-257-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOMER",
        "first_name": "ERIN",
        "middle_name": "N",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2017-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60277365",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 2, 2017; 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.