Individual provider Active NPI

Lauren G. Q. Dunphy, DPT

  • Physical Therapist
  • Redmond, WA
National Provider Identifier
1851600571
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60178128 Issued in WA
Practice address
8301 161St Ave NE Ste 103
Marran Physical Therapy, LLC
Redmond, WA 98052-3858
Phone
(425) 284-1767
Fax
(425) 284-3302
NPI assigned
Sep 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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 PT60178128 WA Primary

Addresses

Primary practice location

8301 161St Ave NE Ste 103
Marran Physical Therapy, LLC
Redmond, WA 98052-3858

Mailing address

8301 161St Ave NE Ste 103
Marran Physical Therapy, LLC
Redmond, WA 98052-3858
Phone (425) 284-1767

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101129000806 WA Practitioner - Physical Therapist in Private Practice 6204022593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capstone Health Services IncGroup PAC ID 0446414403, 26 clinicians

Practice addresses (Care Compare)

8862 Bender Rd
Lynden, WA 98264-8800
Phone (360) 354-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60178128WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capstone Health Services Inc. Physical Therapist CurrentSince May 16, 2022 Accepting new patients
Capstone Health Services Inc. Physical Therapist Current Accepting new patients
Capstone Health Services Inc. Physical Therapist CurrentSince May 16, 2022 Accepting new patients

Locations

24118 Bothell Everett Hwy
Unit 400
Bothell, WA 98021
Phone (360) 354-1115

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

Organizations & group practices 3

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": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1851600571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 161ST AVE NE STE 103",
            "address_2": "MARRAN PHYSICAL THERAPY, LLC",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523858",
            "telephone_number": "425-284-1767",
            "fax_number": "425-284-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 161ST AVE NE STE 103",
            "address_2": "MARRAN PHYSICAL THERAPY, LLC",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523858",
            "telephone_number": "425-284-1767",
            "fax_number": "425-284-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNPHY",
        "first_name": "LAUREN",
        "middle_name": "G. Q.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60178128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.

Verify at the official NPI Registry.