Carla Gerette Haney, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00003238 Issued in WA

Practice address

1227 N 205TH St
Shoreline, WA 98133-3214

Phone

(206) 546-2220

Fax

(206) 546-2228

NPI assigned

Sep 12, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982123782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 3RD AVE STE 104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013008",
            "telephone_number": "206-447-5619",
            "fax_number": "206-546-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 N 205TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333214",
            "telephone_number": "206-546-2220",
            "fax_number": "206-546-2228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1218 3rd Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981013008",
            "country_code": "US",
            "telephone_number": "206-447-5619",
            "fax_number": "206-546-2228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANEY",
        "first_name": "CARLA",
        "middle_name": "GERETTE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.