Individual provider Active NPI

Patrick G Garlock, MHS PT ATC

  • Physical Therapist
  • University Place, WA
National Provider Identifier
1861440406
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00003833 Issued in WA
Practice address
3120 Soundview Dr W
University Place, WA 98466-1612
Phone
(253) 223-1829
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00003833 WA Primary
Massage Therapist 225700000X MA00003713 WA

Addresses

Primary practice location

3120 Soundview Dr W
University Place, WA 98466-1612

Mailing address

24630 Washington Ave
Ste 200
Murrieta, CA 92562-6177
Phone (951) 696-9353

Other practice location 1

4040 Orchard St W Ste 100
Fircrest, WA 98466-6610
Phone (253) 564-1560

Other identifiers 1

IdentifierTypeStateIssuer
8342065MedicaidWA

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
PT00003833WAMDPhysical Therapist
MA00003713WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Oct 18, 2023 Accepting new patients
Beachfront Therapy Consultants LLC Physical Therapist CurrentSince Jan 1, 2019 Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 18, 2023 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients

Locations

11711 NE 12th St
Ste 3A
Bellevue, WA 98005
Phone (425) 454-1405

915 118th Ave SE
Ste 110
Bellevue, WA 98005
Phone (425) 243-6922

13555 SE 36th St
Ste 100
Bellevue, WA 98006

814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900

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

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

19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991

400 Main Ave S
North Bend, WA 98045
Phone (425) 888-1156

3801 5th St SE
Ste 220
Puyallup, WA 98374
Phone (253) 445-4258

906 NE 45th St
Seattle, WA 98105
Phone (206) 347-0414

Organizations & group practices 5

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1861440406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24630 WASHINGTON AVE",
            "address_2": "STE 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626177",
            "telephone_number": "951-696-9353",
            "fax_number": "951-973-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 SOUNDVIEW DR W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984661612",
            "telephone_number": "253-223-1829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4040 Orchard St W Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fircrest",
            "state": "WA",
            "postal_code": "984666610",
            "country_code": "US",
            "telephone_number": "253-564-1560",
            "fax_number": "951-973-7216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARLOCK",
        "first_name": "PATRICK",
        "middle_name": "G",
        "credential": "MHS PT ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003833",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00003713",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8342065",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.