Active NPI
Evan Hassel, DPT
- Physical Therapist
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60170042
- Practice address
- 601 SE 117TH Ave
Suite 210
Vancouver, WA 98683-5297 - Phone
- (360) 254-6161
- Fax
- (360) 449-1139
- NPI assigned
- Jul 8, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | T 6021 | OR | |
| Physical Therapist | 225100000X | PT60170042 | WA | Primary |
Addresses
Primary practice location
601 SE 117TH Ave
Suite 210
Vancouver, WA 98683-5297
Mailing address
200 NE Mother Joseph PL
Suite 210
Vancouver, WA 98664-3299
Phone (360) 254-6161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073742334 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Dennis St SW
Suite a
Tumwater, WA 98501-6523
Phone (360) 819-4335
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T 6021 | OR | MD | Physical Therapist |
| PT60170042 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amphora Health Group LLC | Current | Accepting new patients | |
| Inspire Physical Therapy, Inc., P.S. | Physical Therapist | Current | Accepting new patients |
| J and D Physical Therapy Services | Physical Therapist | Past | Accepting new patients |
Locations
4740 Avery Ln SE
Lacey, WA 98503
Phone (360) 491-1815
100 Dennis St SW
Ste B
Tumwater, WA 98501
Phone (360) 338-0181
100 Dennis St SW
Ste A
Tumwater, WA 98501
Phone (360) 704-3300
Interoperability endpoints
- evan.hasselpt.p1@direct.reboundmd.nextgenshare.com
Organizations & group practices 3
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
- Lacey, WA
- NPI 1427497106
-
- Orthopedic Physical Therapist
- Steilacoom, WA
- NPI 1558220004
-
- Physical Therapy Clinic/Center
- Portland, OR
- NPI 1134299951
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427241600000",
"number": "1073742334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NE MOTHER JOSEPH PL",
"address_2": "SUITE 210",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643299",
"telephone_number": "360-254-6161",
"fax_number": "360-449-1139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 SE 117TH AVE",
"address_2": "SUITE 210",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986835297",
"telephone_number": "360-254-6161",
"fax_number": "360-449-1139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSEL",
"first_name": "EVAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-08",
"last_updated": "2015-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "T 6021",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60170042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073742334",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.