Individual provider Active NPI

Carmella Barger, PT

  • Physical Therapist
  • Woodinville, WA
National Provider Identifier
1831227800
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00005477 Issued in WA
Practice address
17000 140TH Ave NE Unit 303
Woodinville, WA 98072-6928
Phone
(425) 481-1744
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 00005477 WA Primary

Addresses

Primary practice location

17000 140TH Ave NE Unit 303
Woodinville, WA 98072-6928

Mailing address

14200 69TH Dr SE Unit B2
Snohomish, WA 98296-6947
Phone (425) 338-0400

Other names 1

  • Carmella Montgomery Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040922000525 WA Practitioner - Physical Therapist in Private Practice 1951379411 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00005477WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inglewood Physical Therapy PS Physical Therapist CurrentSince Jan 17, 2024 Accepting new patients
Physical Therapy Clinics, Inc., PS CurrentSince Aug 30, 2004 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

14050 Juanita Dr NE
Ste B
Kirkland, WA 98034
Phone (425) 821-3775

17000 140th Ave NE
Unit 303
Woodinville, WA 98072
Phone (425) 381-1744

Organizations & group practices 3

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831227800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14200 69TH DR SE UNIT B2",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982966947",
            "telephone_number": "425-338-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 140TH AVE NE UNIT 303",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726928",
            "telephone_number": "425-481-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARGER",
        "first_name": "CARMELLA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "00005477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMELLA",
            "last_name": "MONTGOMERY",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.