Carolyn Reid

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00006896 Issued in WA

Practice address

9419 Coppertop Loop NE
Bainbridge Island, WA 98110-3647

Phone

(206) 842-2428

NPI assigned

Nov 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Motion Physical Therapy, Inc., PSGroup PAC ID 9638162993, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Motion Physical Therapy, Inc., PS

  • Physical Therapist
  • Bainbridge Island, WA
  • NPI 1578518668

  Single Specialty

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1912543174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9726 HILLTOP DR NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981104817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9419 COPPERTOP LOOP NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103647",
            "telephone_number": "206-842-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "CAROLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Rose Ramnarine
• Angela Dee Rapada, LMP
• Liam Ratcliffe, PT, DPT
• Gabrielle Record
• William Reddy, LMHCA
• Shelley Blain Reimer, LMT
• Amy Reitz, PT
• Andrew M Reyes-Cady, LICSW
• Sarah Arnott Rice, MD
• Tanya Mikhailovna Richards

• Physical Therapist in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.