Individual provider Active NPI

Carrie S Morris, PT

  • Physical Therapist
  • Bothell, WA
National Provider Identifier
1801033956
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00003829 Issued in WA
Practice address
18120 Bothell Way NE
Suite A1
Bothell, WA 98011-1943
Phone
(425) 488-6640
Fax
(425) 488-5424
NPI assigned
Jan 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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 PT00003829 WA Primary

Addresses

Primary practice location

18120 Bothell Way NE
Suite A1
Bothell, WA 98011-1943

Mailing address

11805 N Creek Pkwy S
Suite 113
Bothell, WA 98011-8803
Phone (425) 806-5700

Other names 1

  • Caroline S Donohue Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090618000171 WA Practitioner - Physical Therapist in Private Practice 3678623311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Sports and Spine Physical Therapy Lake City PSGroup PAC ID 2163524182, 6 clinicians

Practice addresses (Care Compare)

11545 15TH Ave NE
Suite 205
Seattle, WA 98125-6358
Phone (206) 417-1298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00003829WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Sports and Spine Physical Therapy Lake City PS Physical Therapist CurrentSince Feb 1, 2009 Accepting new patients

Locations

11545 15th Ave NE
Ste 205
Seattle, WA 98125
Phone (206) 364-2010

3225 NE 125th St
Seattle, WA 98125
Phone (206) 417-1298

Organizations & group practices 1

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": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1801033956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11805 N CREEK PKWY S",
            "address_2": "SUITE 113",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980118803",
            "telephone_number": "425-806-5700",
            "fax_number": "425-806-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18120 BOTHELL WAY NE",
            "address_2": "SUITE A1",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111943",
            "telephone_number": "425-488-6640",
            "fax_number": "425-488-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "CARRIE",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "DONOHUE",
            "middle_name": "S",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.