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Dr. Nusha Ghassemikia File , PT, DPT, OCS

Physical Therapist โ€ข Edmonds, WA

Active NPI 1386111896 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

23320 Highway 99
Edmonds, WA 980268744

Call 4255825585 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

23320 Highway 99

Edmonds, WA 980268744

Telephone 4255825585
Organization at the Same NPPES Address or Phone
Community Health Center Of Snohomish County Facility NPI 1003948738

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

CMS Doctors and Clinicians lists 1 group name: Community Health Center Of Snohomish County. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2018

Medicare-allowed amount

About $33,661 in 2021

The total amount Medicare approved for these services in 2021. 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, 2021.

Paid by Medicare

About $25,116 in 2021

The part of the Medicare-allowed amount that Medicare itself paid in 2021, 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, 2021.

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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

Enrolled in Medicare (PECOS)

Dr. File has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Edmonds and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. File are from 2021.

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

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

Telehealth indicator in Edmonds

0% of these 66 clinicians have the CMS telehealth indicator.

31.8% of these 66 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2021), 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 2021.

CMS Part B ยท Data Year 2021
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ€“2020 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, 2019โ€“2021; 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
416 30 $76.62 $25.74
97530 Therapy procedure using functional activities
363 24 $75.06 $39.89
97140 Therapy procedure using manual technique, each 15 minutes
297 27 $58.69 $23.23
97161 Evaluation for physical therapy, typically 20 minutes
14 13 $244.65 $112.43

Source: CMS Part B by Provider and Service, 2021; 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

Self-certified to NPPES: 2024-09-04
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20190325001442

Enrollment State Jurisdiction

WA

PECOS Control ID

4880934108

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Community Health Center Of Snohomish County

4201 Rucker Ave, Everett, WA 982032237

Phone: 4253824000

Clinicians Sharing This Practice Address or Phone

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

24 listed
Jinhee Binder

Nurse Practitioner - Primary Care

NPI 1558842922
NPI 1265675508

Doctor of Medicine (M.D.), Master of Public Health

Dr. Marina Bond , MD

Family Medicine

NPI 1578267464

Doctor of Medicine (M.D.)

Kelly Dempsey , ARNP

Nurse Practitioner

NPI 1366952798

Advanced Registered Nurse Practitioner

Julie Foerster

Physical Therapist

NPI 1073981775
Aarati Ghimire

Nurse Practitioner

NPI 1053991950

Career & Practice History Timeline

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

11 Historical Events
๐Ÿ“
Updated Practice Location September 04, 2024

Registered at 23320 HIGHWAY 99, EDMONDS, WA 980268744 (Tel: 4255825585)

๐Ÿ“
Updated Business Mailing Address September 04, 2024

Registered at 8609 EVERGREEN WAY, EVERETT, WA 982082619 (Tel: 4257893777)

๐Ÿ‘ค
Provider Name / Credentials Updated September 04, 2024

Recorded as NUSHA FILE, PT, DPT, OCS

๐Ÿ“
Updated Practice Location April 28, 2020

Registered at 15600 NE 8TH ST STE E6, BELLEVUE, WA 980084087 (Tel: 4252147679)

๐Ÿ“
Updated Business Mailing Address April 28, 2020

Registered at 15600 NE 8TH ST STE E6, BELLEVUE, WA 980084087 (Tel: 4252147679)

โœ…
NPI Profile Active November 01, 2018

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) November 01, 2018

Registered at 2248 W LAKE SAMMAMISH PKWY SE, BELLEVUE, WA 980085222 (Tel: 4252464686)

๐Ÿ“
Business Mailing Address (Initial Record) November 01, 2018

Registered at 2248 W LAKE SAMMAMISH PKWY SE, BELLEVUE, WA 980085222 (Tel: 4252464686)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) November 01, 2018

Recorded as NUSHA GHASSEMIKIA, PT, DPT, CISSN

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2018

Physical Therapist

๐ŸŸข
Initial NPI Registration & Enumeration November 01, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1386111896
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2018
Last Update: September 04, 2024
Sole Proprietor: No

Other Physical Therapists in Edmonds

All Physical Therapists in Edmonds

Mailing Address

8609 Evergreen Way

Everett, WA 982082619

Phone: 4257893777

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.