Individual provider Active NPI

Andrew D Carrell, DPT

  • Physical Therapist
  • Pasco, WA
National Provider Identifier
1841555265
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60615361 Issued in WA
Practice address
6825 Burden Blvd Ste D
Pasco, WA 99301
Phone
(509) 416-0444
Fax
(509) 545-1112
NPI assigned
Jul 11, 2012
Last updated
Dec 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 06902 OR
Physical Therapist 225100000X PT60615361 WA Primary

Addresses

Primary practice location

6825 Burden Blvd Ste D
Pasco, WA 99301

Mailing address

2155 NW Dawn Dr
Hermiston, OR 97838-1093
Phone (541) 314-2406

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Oregon Physical Therapy Physical Therapist CurrentSince Jul 10, 2012 Accepting new patients
Eastern Oregon Physical Therapy Hermiston LLC Physical Therapist PastSince Oct 27, 2024 Accepting new patients
Pioneer Memorial Physical Therapy Physical Therapist PastSince Jun 28, 2021 Accepting new patients

Locations

1100 Southgate
Ste 15
Pendleton, OR 97801
Phone (541) 276-4011

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, 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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1841555265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 NW DAWN DR",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978381093",
            "telephone_number": "541-314-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 BURDEN BLVD STE D",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "99301",
            "telephone_number": "509-416-0444",
            "fax_number": "509-545-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRELL",
        "first_name": "ANDREW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "06902",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60615361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.