Individual provider Active NPI

David Vollan, PHYSICAL THERAPIST

  • Physical Therapist
  • Freeland, WA
National Provider Identifier
1841887080
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61085620 Issued in WA
Practice address
5522 Freeland Ave
Freeland, WA 98249-9734
Phone
(360) 331-5272
Fax
(360) 331-5848
NPI assigned
Dec 22, 2020
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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 PT61085620 WA Primary

Addresses

Primary practice location

5522 Freeland Ave
Freeland, WA 98249-9734

Mailing address

PO Box 568
Freeland, WA 98249-0568
Phone (360) 331-5272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210128001193 WA Practitioner - Physical Therapist in Private Practice 0749694073 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Capstone Health Services Inc. Physical Therapist Current Accepting new patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Movewell Physical Therapy and Wellness LLC Physical Therapist CurrentSince Sep 17, 2023 Accepting new patients
Capstone Health Services Inc. Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Capstone Health Services Inc. Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients

Locations

1733 H St
Ste 400
Blaine, WA 98230
Phone (360) 332-5111

5522 Freeland Ave
Freeland, WA 98249
Phone (360) 331-0337

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

8862 Bender Rd
Ste 101
Lynden, WA 98264
Phone (360) 255-7876

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1841887080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "982490568",
            "telephone_number": "360-331-5272",
            "fax_number": "360-331-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 FREELAND AVE",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "982499734",
            "telephone_number": "360-331-5272",
            "fax_number": "360-331-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLAN",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61085620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.