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Active NPI 1104001452 Individual Practitioner Female Practitioner

Stacey A Ellingson , PT

Physical Therapist • Bothell, WA

Professional Overview & Biography Verified Profile Summary

Stacey Ellingson, PT is a registered healthcare professional specializing in Physical Therapist in Bothell, WA. Practice services are available at 12900 NE 180TH ST STE 110 under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using functional activities, therapy procedure to re-educate brain-to-nerve-to-muscle function, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12900 Ne 180th St Ste 110

Bothell, WA 980115773

Telephone 4254834270
Fax 4254834268
Associated Practice Facility / Clinic
🏢 Flex Physical Therapy Facility NPI 1679574479

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Bothell, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.6 Yrs
State Avg: 16.3 Yrs
Regional Practice Density
100 Specialists

Practicing in Bothell, WA (7580 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
161 12 $63.00 $27.13
97530 Therapy procedure using functional activities
92 15 $78.00 $35.28
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
47 12 $70.00 $29.59

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License WA PT00010820

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Secondary Practice Locations

19119 N Creek Pkwy Ste 107

Bothell, WA 980118023

Phone: 4254868800

Practice Associates & Co-Workers

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

16 Associated Practitioners
Dawn Dolobowsky , PT

Physical Therapist - Orthopedic

NPI 1144807157

Physical Therapist

Lindsay Terpstra , PT

Physical Therapist

NPI 1245586809

Physical Therapist

Keri Hollenbeck , PT

Physical Therapist

NPI 1295945376

Physical Therapist

Diane Thusat , PT

Physical Therapist

NPI 1306056478

Physical Therapist

Karol Wilson , PT

Physical Therapist

NPI 1346344389

Physical Therapist

Divya Negi , MPT

Physical Therapist

NPI 1407488190

Master of Physical Therapy

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location April 04, 2018

Registered at 12900 NE 180TH ST STE 110, BOTHELL, WA 980115773 (Tel: 4254834270)

NPI Profile Active December 27, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 27, 2013

Registered at 19119 N CREEK PKWY, SUITE 107, BOTHELL, WA 980118036 (Tel: 4254868800)

📍
Updated Business Mailing Address December 27, 2013

Registered at PO BOX 2170, SUMNER, WA 983900480 (Tel: 2538402313)

👤
Provider Name / Credentials Updated December 27, 2013

Recorded as STACEY ELLINGSON, PT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2013

Physical Therapist (License #PT00010820 in WA)

🟢
Initial NPI Registration & Enumeration January 07, 2008

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: 1104001452
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 07, 2008
Last Update: April 04, 2018
Sole Proprietor: No

Mailing Address

Po Box 2170

Sumner, WA 983900480

Phone: 2538402313

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.