Active NPI
Ryan Patrick Haskell
- Physical Therapist
- Marysville, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00009286
- Practice address
- 2901 174TH St NE
Marysville, WA 98271-4743 - Phone
- (360) 454-1945
- Fax
- (360) 454-1991
- NPI assigned
- Oct 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00009286 | WA | Primary |
Addresses
Primary practice location
2901 174TH St NE
Marysville, WA 98271-4743
Mailing address
PO Box 5127
Everett, WA 98206-5127
Phone (360) 454-1945
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5311HA | Other | WA | REGENCE |
| 8949261 | Other | WA | L&I CRIME VICTIMS |
| 0242005 | Other | WA | L&I |
| 5307HA | Other | WA | REGENCE |
| 8951177 | Other | WA | L&I CRIME VICTIMS |
| 0248638 | Other | WA | L&I |
| 5309HA | Other | WA | REGENCE |
| 5308HA | Other | WA | REGENCE |
| 5305HA | Other | WA | REGENCE |
| 8402620 | Other | WA | DSHS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9652 W State St
Northstar Physical Therapy
Star, ID 83669-5858
Phone (208) 286-0766
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00009286 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Physical Therapy P C | Physical Therapist | Current | Accepting new patients |
| Nichols Therapy Group PC | Physical Therapist | Current | Accepting new patients |
| Erhardt Physical Therapy and Sports Medicine, LLC | Physical Therapist | Past | Accepting new patients |
| McCall Physical Therapy, P.a. | Physical Therapist | Past | Accepting new patients |
| Institute of Physical Therapy and Fitness | Physical Therapist | Past | Accepting new patients |
| McMinnville Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
7550 W Emerald St
Ste 101
Boise, ID 83704
Phone (208) 375-0666
678 Southway Ave
Lewiston, ID 83501
Phone (208) 746-1418
2005 12th Ave Rd
Nampa, ID 83686
Phone (208) 463-0022
9652 W State St
#T
Star, ID 83669
Phone (208) 286-0766
9652 W State St
Star, ID 83669
Phone (208) 286-0766
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Star, ID
- NPI 1043380769
-
- Physical Therapist
- Boise, ID
- NPI 1073551560
-
- Physical Therapist
- Scappoose, OR
- NPI 1326110313
-
- Physical Therapist
- Lewiston, ID
- NPI 1043392087
-
- Physical Therapist
- McCall, ID
- NPI 1750454104
-
- Physical Therapist
- McMinnville, OR
- NPI 1184655110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1003069725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5127",
"city": "EVERETT",
"state": "WA",
"postal_code": "982065127",
"telephone_number": "360-454-1945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 174TH ST NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982714743",
"telephone_number": "360-454-1945",
"fax_number": "360-454-1991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASKELL",
"first_name": "RYAN",
"middle_name": "PATRICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-25",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00009286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "5311HA",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CRIME VICTIMS",
"identifier": "8949261",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0242005",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "5307HA",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CRIME VICTIMS",
"identifier": "8951177",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0248638",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "5309HA",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "5308HA",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "5305HA",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSHS",
"identifier": "8402620",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.