Active NPI
Collin Gage, PT, DPT
- Physical Therapist
- Kent, WA
National Provider Identifier
1851176630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61475950
- Practice address
- 11010 SE 232ND St
Kent, WA 98031-3457 - Phone
- (253) 373-7473
- NPI assigned
- Aug 29, 2023
- 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 | PT61475950 | WA | Primary |
Addresses
Primary practice location
11010 SE 232ND St
Kent, WA 98031-3457
Mailing address
19910 SE 242ND PL
Maple Valley, WA 98038-8645
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT61475950 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1851176630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19910 SE 242ND PL",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980388645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11010 SE 232ND ST",
"city": "KENT",
"state": "WA",
"postal_code": "980313457",
"telephone_number": "253-373-7473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGE",
"first_name": "COLLIN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-29",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61475950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.