Individual provider Active NPI

Nancy C. Cullinane, PT, MSH

  • Physical Therapist
  • Bellingham, WA
National Provider Identifier
1821177270
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00006060 Issued in WA
Practice address
2171 Shallow Shore LN
Bellingham, WA 98229-8520
Phone
(360) 656-5740
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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 PT00006060 WA Primary

Addresses

Primary practice location

2171 Shallow Shore LN
Bellingham, WA 98229-8520

Mailing address

2171 Shallow Shore LN
Bellingham, WA 98229-8520
Phone (360) 656-5740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140610001462 WA Practitioner - Physical Therapist in Private Practice 2567686710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overlake Medical Clinics LLCGroup PAC ID 7012808827, 423 clinicians

Practice addresses (Care Compare)

1417 116TH Ave NE
Suite 110
Bellevue, WA 98004-3821
Phone (425) 688-5900

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
539AKMDChiropractor
PT00006060WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capstone Health Services Inc. Physical Therapist CurrentSince Jan 1, 2015 Accepting new patients
Capstone Health Services Inc. Physical Therapist CurrentSince Jan 1, 2015 Accepting new patients
Overlake Medical Clinics, LLC Current Accepting new patients
Overlake Medical Clinics LLC CurrentSince Aug 14, 2017 Accepting new patients
Capstone Health Services Inc. Physical Therapist Current Accepting new patients
Juneau Bone & Joint Center, LLC. PastSince Aug 22, 2024 Accepting new patients
Juneau Physical Therapy PastSince Jul 1, 2000 Accepting new patients

Locations

1417 116th Ave NE
Ste 110
Bellevue, WA 98004
Phone (425) 688-5700

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

8862 Bender Rd
Ste 101
Lynden, WA 98264
Phone (360) 255-7876

Organizations & group practices 7

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224460800000",
    "number": "1821177270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 SHALLOW SHORE LN",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982298520",
            "telephone_number": "360-656-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 SHALLOW SHORE LN",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982298520",
            "telephone_number": "360-656-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLINANE",
        "first_name": "NANCY",
        "middle_name": "C.",
        "credential": "PT, MSH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; 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.