Connie J Klagge, PT

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

PT00005242 Issued in WA

Practice address

1809 100TH PL SE
Everett, WA 98208-3829

Phone

(425) 357-1809

Fax

(425) 357-8519

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Back to Health Physical Therapy, Inc

  • Physical Therapist
  • Everett, WA
  • NPI 1659617348
  Medicare reassignment NPD Authorized official
• Robert H Price MD PLLC

  dba Northwest Neurology & Sleep

  • Neurology Physician
  • Everett, WA
  • NPI 1730139973
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083762207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10805 39TH DR SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982085428",
            "telephone_number": "425-357-1809",
            "fax_number": "425-357-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 100TH PL SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083829",
            "telephone_number": "425-357-1809",
            "fax_number": "425-357-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAGGE",
        "first_name": "CONNIE",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "WA",
            "license": "PT00005242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Kirungi
• Sara Kish
• Daniela Celeste Kissell, LMT
• Stephanie J Kissinger
• Danielle P Klaeysen, PA
• Sera Louise Klamper-Wacker, MS
• Cathlyn Skerlong Klassen, MD
• Camryn Klein, PA
• Virginia M. Klein, M.B.A. H.R.
• Ashley Kleindinst

• Legal Medicine in Everett, WA
• Providers in Everett, WA by specialty
• Legal Medicine in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.