Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356479620 Individual Practitioner Male Practitioner

Erik Moen , PT

Specialist • Kenmore, WA

Professional Overview & Biography Verified Profile Summary

Erik Moen, PT is a registered healthcare professional specializing in Specialist in Kenmore, WA. Practice services are available at 6161 NE 175TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6161 Ne 175th St
Ste 203

Kenmore, WA 980284800

Telephone 4254822453
Fax 4254822452
Associated Practice Facility / Clinic
🏢 Corpore Sano Llc Facility NPI 1730356122

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Kenmore, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Kenmore, WA (2751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA PT5791

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1982994885

Doctor of Physical Therapy

Scott Mcclave

Physical Therapist

NPI 1992109615

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 6161 NE 175TH ST, STE 203, KENMORE, WA 980284800 (Tel: 4254822453)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6161 NE 175TH ST, STE 203, KENMORE, WA 980284800 (Tel: 4254822453)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ERIK MOEN, PT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #PT5791 in WA)

🟢
Initial NPI Registration & Enumeration March 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356479620
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

6161 Ne 175th St, Ste 203

Kenmore, WA 980284800

Phone: 4254822453

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.