Stephen M McCarthy, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9023 Issued in WA

Practice address

1700 Main St
Suite #222
Washougal, WA 98671

Phone

(360) 835-5349

Fax

(360) 835-5390

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Washougal Sport and Spine IncGroup PAC ID 2163580929, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Washougal Sport and Spine, Inc.

  • Physical Therapy Clinic/Center
  • Washougal, WA
  • NPI 1871743526
  Medicare reassignment Care Compare group Authorized official
• Erhardt Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Scappoose, OR
  • NPI 1326110313
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1982659686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MAIN ST.",
            "address_2": "SUITE #222",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "98671",
            "telephone_number": "360-835-5349",
            "fax_number": "360-835-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MAIN ST",
            "address_2": "SUITE #222",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "98671",
            "telephone_number": "360-835-5349",
            "fax_number": "360-835-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5176",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "9023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278320",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha A Martin, PH.D.
• Calen Matsuda, DC
• Alla Matveyenko, CCC-SLP
• Lindsay Victoria Mauldin, RN
• Julie Marie Maynard, LMP
• Daniel Sean McComas, PHARM.D.
• Melissa Owens LPC, LLC
• Melissa Owens LPC, LLC
• Amanda Merrill
• Maria P. Meza, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.