Individual provider Active NPI

Nicole L McVarish, PT

  • Physical Medicine & Rehabilitation Physician
  • Shoreline, WA
National Provider Identifier
1841868775
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT60968663 Issued in WA
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

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PT60968663OtherWASTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
PT60968663WAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cadence Physical Therapy, PNW, PLLC CurrentSince Apr 16, 2023 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.

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.

Verify at the official NPI Registry.