Individual provider Active NPI

Connor Meppen, DPT

  • Physical Therapist
  • Woodland, CA
National Provider Identifier
1841856432
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60947021 Issued in WA
Practice address
1100 Main St Ste 190
Woodland, CA 95695-3515
Phone
(530) 662-2835
NPI assigned
May 20, 2019
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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 PT60947021 WA Primary

Addresses

Primary practice location

1100 Main St Ste 190
Woodland, CA 95695-3515

Mailing address

12907 E Gibson Rd Apt F104
Everett, WA 98204-5360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190606000908 WA Practitioner - Physical Therapist in Private Practice 1850624859 Reassigns benefits to 4 organizations
I20220812001918 OR Practitioner - Physical Therapist in Private Practice 1850624859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

202 Cross St SE
Auburn, WA 98002-5406
Phone (253) 876-8190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60947021WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Apr 29, 2019 Accepting new patients
New Proactive LLC Physical Therapist CurrentSince Jun 28, 2022 Accepting new patients
Multicare Health System CurrentSince Feb 20, 2020 Accepting new patients
Multicare Health System Current Accepting new patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Multicare Health System CurrentSince Feb 20, 2020 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist Current Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Apr 29, 2019 Accepting new patients
Omnis Omnia Inc. PastSince Feb 4, 2015 Accepting new patients
Multicare Health System Physical Therapist Past Accepting new patients
Burger Physical Therapy Services Inc PastSince Mar 13, 2022 Accepting new patients
Burger Physical Therapy and Rehabilitation Agency Inc PastSince Mar 13, 2022 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

1630 Beavercreek Rd
Ste A
Oregon City, OR 97045
Phone (503) 607-0047

1307 NE 102nd Ave
Ste T1
Portland, OR 97220
Phone (971) 270-0913

450 NW Greenwood Ave
Redmond, OR 97756
Phone (541) 923-0410

202 Cross St SE
Auburn, WA 98002
Phone (253) 680-6000

15600 NE 8th St
Ste E6
Bellevue, WA 98008
Phone (425) 214-7679

10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327

12121 Harbour Reach Dr
Ste 100
Mukilteo, WA 98275
Phone (425) 354-5110

231 Avenue D
Snohomish, WA 98290
Phone (360) 563-1020

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1841856432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12907 E GIBSON RD APT F104",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982045360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MAIN ST STE 190",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953515",
            "telephone_number": "530-662-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEPPEN",
        "first_name": "CONNOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-20",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60947021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.