Individual provider Active NPI

Caitlin Cooney

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1821497264
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
432 NE Ravenna Blvd Unit 101
Seattle, WA 98115-8448
Phone
(206) 524-4977
Fax
(206) 524-4340
NPI assigned
Aug 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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 Primary

Addresses

Primary practice location

432 NE Ravenna Blvd Unit 101
Seattle, WA 98115-8448

Mailing address

432 NE Ravenna Blvd Unit 101
Seattle, WA 98115-8448
Phone (206) 524-4977

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210609002257 WA Practitioner - Physical Therapist in Private Practice 3375763774 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back to Work Prevention and Physical Therapy IncGroup PAC ID 0446444624, 26 clinicians

Practice addresses (Care Compare)

3900 E Valley Rd
Suite 103
Renton, WA 98057-4954
Phone (425) 207-3505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services Current Accepting new patients
Swedish Health Services Physical Therapist CurrentSince Oct 31, 2023 Accepting new patients
Back to Work Prevention & Physical Therapy, Inc. CurrentSince Feb 19, 2024 Accepting new patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Feb 21, 2024 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 29, 2023 Accepting new patients

Locations

13555 SE 36th St
Ste 100
Bellevue, WA 98006

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

6520 226th Pl SE
Ste 201
Issaquah, WA 98027
Phone (425) 391-5504

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

3900 E Valley Rd
Ste 103
Renton, WA 98057
Phone (425) 207-3505

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

5620 Rainier Ave S
Ste 102
Seattle, WA 98118
Phone (206) 535-8061

800 5th Ave
Ste P100
Seattle, WA 98104
Phone (206) 320-2700

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": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1821497264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 NE RAVENNA BLVD UNIT 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981158448",
            "telephone_number": "206-524-4977",
            "fax_number": "206-524-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 NE RAVENNA BLVD UNIT 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981158448",
            "telephone_number": "206-524-4977",
            "fax_number": "206-524-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONEY",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Jun 23, 2021; 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.