Individual provider Active NPI

John-Robert Woolley, PT, DPT

  • Physical Therapist
  • Snohomish, WA
National Provider Identifier
1902530744
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61282183 Issued in WA
Practice address
13119 Seattle Hill Rd Ste 107
Snohomish, WA 98296-3402
Phone
(425) 224-4490
NPI assigned
Jul 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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 61282183 WA Primary

Addresses

Primary practice location

13119 Seattle Hill Rd Ste 107
Snohomish, WA 98296-3402

Mailing address

1805 148TH St SE
Mill Creek, WA 98012-8206
Phone (425) 512-5869

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831004039 WA Practitioner - Physical Therapist in Private Practice 7517341076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Rehabilitation Associates, PLLCGroup PAC ID 8325937642, 33 clinicians

Practice addresses (Care Compare)

407 E 2ND Ave
Suite 100
Spokane, WA 99202-1428
Phone (509) 455-6002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61282183WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Rehabilitation Associates, PLLC Physical Therapist CurrentSince Jul 15, 2023 Accepting new patients
Seattle Hill Physical Therapy LLC CurrentSince Jul 18, 2022 Accepting new patients
Summit Rehab Valley Corporation Physical Therapist PastSince Jul 15, 2023 Accepting new patients

Locations

13119 Seattle Hill Rd
Ste 107
Snohomish, WA 98296
Phone (425) 224-4490

407 E 2nd Ave
Ste 100
Spokane, WA 99202
Phone (509) 455-6002

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": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1902530744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 148TH ST SE",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980128206",
            "telephone_number": "425-512-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13119 SEATTLE HILL RD STE 107",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982963402",
            "telephone_number": "425-224-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLLEY",
        "first_name": "JOHN-ROBERT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61282183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.