Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Stacey A Ellingson , PT

Physical Therapist โ€ข Bothell, WA

Active NPI 1104001452 Individual Practitioner Female Practitioner
Practice location in NPPES

12900 Ne 180th St Ste 110
Bothell, WA 980115773

Call 4254834270 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12900 Ne 180th St Ste 110

Bothell, WA 980115773

Telephone 4254834270
Fax 4254834268
Organization at the Same NPPES Address or Phone
Flex Physical Therapy Facility NPI 1679574479

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Bothell, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare-allowed amount

About $9,004 in 2023

The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

Paid by Medicare

About $6,775 in 2023

The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bothell and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Stacey Ellingson are from 2023.

99 active clinicians are listed under Physical Therapist with a practice address in Bothell, WA (7,500 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bothell

0% of these 99 clinicians have the CMS telehealth indicator.

42.4% of these 99 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2023.

CMS Part B ยท Data Year 2023
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2022โ€“2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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

Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Secondary Practice Locations

19119 N Creek Pkwy Ste 107

Bothell, WA 980118023

Phone: 4254868800

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
Dawn Dolobowsky , PT

Physical Therapist - Orthopedic

NPI 1144807157

Physical Therapist

Dr. Molly Ha , DPT

Physical Therapist

NPI 1730651670

Doctor of Physical Therapy

Pallavi Jakatdar , PT

Physical Therapist

NPI 1417389123

Physical Therapist

Deborah Jenkins , PT

Physical Therapist

NPI 1679636369

Physical Therapist

Tracey Macneill , MPT

Physical Therapist

NPI 1982718326

Master of Physical Therapy

Divya Negi , MPT

Physical Therapist

NPI 1407488190

Master of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐Ÿ“
Updated Practice Location April 04, 2018

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

โœ…
NPI Profile Active December 27, 2013

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) December 27, 2013

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

๐Ÿ“
Business Mailing Address (Initial Record) December 27, 2013

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

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) December 27, 2013

Recorded as STACEY ELLINGSON, PT

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2013

Physical Therapist (license number reported to NPPES: WA PT00010820)

๐ŸŸข
Initial NPI Registration & Enumeration January 07, 2008

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

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

Other Physical Therapists in Bothell

All Physical Therapists in Bothell

Mailing Address

Po Box 2170

Sumner, WA 983900480

Phone: 2538402313

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.