Individual provider Active NPI

Douglas Terrone, PT, DPT, ATC

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1811426786
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61185118 Issued in WA
Practice address
506 12TH Ave
Seattle, WA 98122-5509
Phone
(845) 901-9300
NPI assigned
Jun 5, 2017
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Physical Therapist 225100000X PT61185118 WA Primary

Addresses

Primary practice location

506 12TH Ave
Seattle, WA 98122-5509

Mailing address

23425 SE Black Nugget Rd Apt R302
Issaquah, WA 98029-6937
Phone (845) 901-9300

Other practice location 1

5151 Park Ave
Fairfield, CT 06825-1090
Phone (203) 371-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT61185118WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Redmond Ridge Physical Therapy PLLC Physical Therapist PastSince Jun 1, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1811426786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23425 SE BLACK NUGGET RD APT R302",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980296937",
            "telephone_number": "845-901-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 12TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225509",
            "telephone_number": "845-901-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5151 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068251090",
            "country_code": "US",
            "telephone_number": "203-371-7999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRONE",
        "first_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61185118",
            "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 Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.