Active NPI
Nicole L McVarish, PT
- Physical Medicine & Rehabilitation Physician
- Shoreline, WA
National Provider Identifier
1841868775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT60968663
- Practice address
- 17012 Aurora Ave N
Shoreline, WA 98133-5315 - Phone
- (206) 788-8807
- Fax
- (866) 329-2785
- NPI assigned
- Jun 16, 2021
- Sex
- Female
- 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 Medicine & Rehabilitation Physician | 208100000X | PT60968663 | WA | Primary |
Addresses
Primary practice location
17012 Aurora Ave N
Shoreline, WA 98133-5315
Mailing address
17012 Aurora Ave N
Shoreline, WA 98133-5315
Phone (206) 788-8807
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT60968663 | Other | WA | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.prevailpt.com | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60968663 | WA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cadence Physical Therapy, PNW, PLLC | Current | Accepting new patients |
Locations
6925 216th St SW
Ste M
Lynnwood, WA 98036
Phone (206) 880-3191
Organizations & group practices 1
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.
-
- Orthopedic Physical Therapist
- Lynnwood, WA
- NPI 1417643628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1841868775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17012 AURORA AVE N",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981335315",
"telephone_number": "206-788-8807",
"fax_number": "866-329-2785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17012 AURORA AVE N",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981335315",
"telephone_number": "206-788-8807",
"fax_number": "866-329-2785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCVARISH",
"first_name": "NICOLE",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-16",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WA",
"license": "PT60968663",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PT60968663",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.prevailpt.com",
"affiliation": "N",
"endpointDescription": "Website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "17012 Aurora Ave N",
"city": "Shoreline",
"state": "WA",
"country_code": "US",
"postal_code": "981335315",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.