OrganizationActive
Corpore Sano LLC
NPI 1730356122 · Physical Therapy Clinic/Center · Kenmore, WA
Provider details
- NPI number
- 1730356122
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Erik Moen, Owner(425) 482-2453
- License
- 5791 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6161 Ne 175th St
Ste 203
Kenmore, WA 98028-4800
Phone: (425) 482-2453
Fax: (425) 482-2452
Street-level locationGet directions
Mailing address
6161 Ne 175th St
Kenmore, WA 98028-4800
Registry dates
- Enumerated
- 2008-05-14
- Last updated
- 2008-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.