Active NPI
Connor Meppen, DPT
- Physical Therapist
- Woodland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60947021
- Practice address
- 1100 Main St Ste 190
Woodland, CA 95695-3515 - Phone
- (530) 662-2835
- NPI assigned
- May 20, 2019
- Last updated
- Mar 9, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OR
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT60947021 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Rehabilitation Associates, PLLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| New Proactive LLC | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Summit Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Summit Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
| Cascade Rehabilitation Associates, PLLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Omnis Omnia Inc. | Past | Accepting new patients | |
| Multicare Health System | Physical Therapist | Past | Accepting new patients |
| Burger Physical Therapy Services Inc | Past | Accepting new patients | |
| Burger Physical Therapy and Rehabilitation Agency Inc | Past | 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.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba Cascade Rehabilitation
- Occupational Therapist
- Everett, WA
- NPI 1245361617
Physical Therapist
-
dba ProActive Physical Therapy
- Physical Therapy Clinic/Center
- Oregon City, OR
- NPI 1396273199
Physical Therapist
-
dba Summit Rehab
- Multi-Specialty Clinic/Center
- Lake Stevens, WA
- NPI 1558492934
Physical Therapist
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Physical Therapist
-
- Physical Therapist
- Mukilteo, WA
- NPI 1770359010
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba MultiCare Behavioral Health
- Community/Behavioral Health Agency
- Puyallup, WA
- NPI 1700925351
-
- Physical Therapist
- Everett, WA
- NPI 1760374771
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Folsom, CA
- NPI 1457333908
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.