Active NPI
Andrew D Carrell, DPT
- Physical Therapist
- Pasco, WA
National Provider Identifier
1841555265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60615361
- 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, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Oregon Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Eastern Oregon Physical Therapy Hermiston LLC | Physical Therapist | Past | Accepting new patients |
| Pioneer Memorial Physical Therapy | Physical Therapist | Past | 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.
-
- Physical Therapist
- Pendleton, OR
- NPI 1013933985
-
- Physical Therapist
- Hermiston, OR
- NPI 1124043633
-
- Physical Therapist
- Heppner, OR
- NPI 1760400956
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.