Individual provider Active NPI

Lee A Haggerty, DPT

  • Physical Therapist
  • Bellingham, WA
National Provider Identifier
1083239446
Registry record updated Oct 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61463567 Issued in WA
Practice address
2075 Barkley Blvd Ste 200
Bellingham, WA 98226-6696
Phone
(360) 733-4008
Fax
(360) 733-4064
NPI assigned
Jun 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT61463567 WA Primary

Addresses

Primary practice location

2075 Barkley Blvd Ste 200
Bellingham, WA 98226-6696

Mailing address

805 Madison St Ste 901
Seattle, WA 98104-1172
Phone (360) 733-4008

Other identifiers 1

IdentifierTypeStateIssuer
2275051MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200721003071 MA Practitioner - Physical Therapist in Private Practice 2860816071 Reassigns benefits to 1 organization
I20240215003092 WA Practitioner - Physical Therapist in Private Practice 2860816071 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proliance Surgeons Inc P SGroup PAC ID 8527972900, 395 clinicians
Javaman PSGroup PAC ID 1456265263, 15 clinicians

Practice addresses (Care Compare)

1401 S Laventure Rd
Mount Vernon, WA 98274-6033
Phone (360) 424-2400

2075 Barkley Blvd
Suite 200
Bellingham, WA 98226-6696
Phone (360) 733-4008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT61463567WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc P S Current Accepting new patients
Javaman PS Physical Therapist CurrentSince May 6, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Boston Sports Medicine Inc Physical Therapist CurrentSince Apr 16, 2020 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Oct 1, 2025 Accepting new patients
Multicare Health System CurrentSince Jan 12, 2024 Accepting new patients
Proliance Surgeons, Inc., P.S. Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients
Multicare Health System Physical Therapist CurrentSince Jan 12, 2024 Accepting new patients
Proliance Surgeons, Inc., P.S. Past Accepting new patients

Locations

14 McGrath Hwy
Somerville, MA 02143
Phone (617) 623-4500

2075 Barkley Blvd
Ste 200
Bellingham, WA 98226
Phone (360) 733-4008

10004 204th Ave E
Ste 3100
Bonney Lake, WA 98391
Phone (253) 863-7510

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1401 S Laventure Rd
Mount Vernon, WA 98274
Phone (360) 424-2400

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

Interoperability endpoints

  • Direct secure messaging: lee.haggerty.p13@direct.proliance.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/11813/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760832000000",
    "number": "1083239446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 MADISON ST STE 901",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041172",
            "telephone_number": "360-733-4008",
            "fax_number": "360-733-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 BARKLEY BLVD STE 200",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266696",
            "telephone_number": "360-733-4008",
            "fax_number": "360-733-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "LEE",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2025-10-19",
        "certification_date": "2025-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61463567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2275051",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2025; 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.

Verify at the official NPI Registry.