Individual provider Active NPI

Doniel M Hagee, DPT

  • Physical Therapist
  • Lynden, WA
National Provider Identifier
1083699888
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00009898 Issued in WA
Practice address
8862 Bender Rd Ste 101
Lynden, WA 98264-8800
Phone
(360) 354-1115
Fax
(360) 354-0321
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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 PT00009898 WA Primary

Addresses

Primary practice location

8862 Bender Rd Ste 101
Lynden, WA 98264-8800

Mailing address

8862 Bender Rd Ste 101
Lynden, WA 98264-8800
Phone (360) 354-1115

Other identifiers 2

IdentifierTypeStateIssuer
G8910750OtherWACAPSTONE PT MEDICARE PTAN
PT00009898OtherWASTATE OF WA PT LICENSE

Other names 1

  • Dr. Doniel M Chauvin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060110000084 WA Practitioner - Physical Therapist in Private Practice 5890718449 Reassigns benefits to 1 organization
I20190529000488 OR Practitioner - Physical Therapist in Private Practice 5890718449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capstone Health Services IncGroup PAC ID 0446414403, 26 clinicians

Practice addresses (Care Compare)

1733 H St
Suite 400
Blaine, WA 98230-5107
Phone (360) 354-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Physical Therapy Limited Partnership Physical Therapist CurrentSince Jun 24, 2019 Accepting new patients
Capstone Health Services Inc. Physical Therapist CurrentSince May 24, 2013 Accepting new patients
Moving Mountains Therapy at Home LLC Physical Therapist CurrentSince Jan 10, 2020 Accepting new patients
Capstone Health Services Inc. CurrentSince May 24, 2013 Accepting new patients
Capstone Health Services Inc. Physical Therapist Current Accepting new patients
Rebound Physical Therapy Limited Partnership Physical Therapist CurrentSince Jun 24, 2019 Accepting new patients
Lynden Family Physical Therapy PS Inc. Physical Therapist PastSince Jun 1, 2000 Accepting new patients

Locations

805 SW Industrial Way
Ste 3
Bend, OR 97702
Phone (541) 323-5864

1717 NE 2nd St
Redmond, OR 97756
Phone (541) 332-9045

1315 NW 4th St
Apt B
Redmond, OR 97756
Phone (541) 504-2350

3111 Newmarket St
Ste 101
Bellingham, WA 98226
Phone (360) 354-1115

1733 H St
Ste 400
Blaine, WA 98230
Phone (360) 332-5111

8125 Birch Bay Square St
Ste 248
Blaine, WA 98230
Phone (360) 332-5111

1740 Labounty Dr
Ste 7
Ferndale, WA 98248
Phone (360) 380-7336

1887 Main St
Ste 105
Ferndale, WA 98248
Phone (360) 384-5111

8862 Bender Rd
Ste 101
Lynden, WA 98264
Phone (360) 255-7876

Organizations & group practices 7

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1083699888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8862 BENDER RD STE 101",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982648800",
            "telephone_number": "360-354-1115",
            "fax_number": "360-354-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8862 BENDER RD STE 101",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982648800",
            "telephone_number": "360-354-1115",
            "fax_number": "360-354-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEE",
        "first_name": "DONIEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPSTONE PT MEDICARE PTAN",
            "identifier": "G8910750",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WA PT LICENSE",
            "identifier": "PT00009898",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONIEL",
            "last_name": "CHAUVIN",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynden, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.