Active NPI
Rachel Kristin Corey, DPT
- Physical Therapist
- Longview, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00010099
- Practice address
- 200 Triangle Center #270
Longview, WA 98632 - Phone
- (360) 501-3750
- Fax
- (360) 501-3755
- NPI assigned
- Aug 14, 2009
- Last updated
- Jun 24, 2024
- Sex
- Female
- 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 | PT00010099 | WA | Primary |
Addresses
Primary practice location
200 Triangle Center #270
Longview, WA 98632
Mailing address
PO Box 3002
Longview, WA 98632-0302
Other practice location 1
852 Commerce Ave
Longview, WA 98632-2406
Phone (360) 501-3750
Other names 1
- Rachel Kristin Landstrom
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
200 Triangle Shopping Ctr
Suite 270
Longview, WA 98632-4673
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.2 of 100
- Quality
- 84.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00010099 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Physical Therapist | Past | Accepting new patients |
Locations
1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818
200 Triangle Shopping Ctr
Ste 270
Longview, WA 98632
Phone (360) 501-3750
852 Commerce Ave
Longview, WA 98632
Phone (360) 501-3750
1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100
Organizations & group practices 2
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.
-
dba St. John Medical Center - PeaceHealth Medical Group
- Multi-Specialty Clinic/Center
- Longview, WA
- NPI 1720056187
-
dba St. John Medical Center - Outpatient Therapy
- Physical Therapist
- Longview, WA
- NPI 1275501538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1871725564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3002",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986320302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 TRIANGLE CENTER #270",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "98632",
"telephone_number": "360-501-3750",
"fax_number": "360-501-3755"
}
],
"practiceLocations": [
{
"address_1": "852 Commerce Ave",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "WA",
"postal_code": "986322406",
"country_code": "US",
"telephone_number": "360-501-3750",
"fax_number": "360-501-3755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COREY",
"first_name": "RACHEL",
"middle_name": "KRISTIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-14",
"last_updated": "2024-06-24",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00010099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "LANDSTROM",
"middle_name": "KRISTIN",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.