Active NPI
Hazen Plough, DPT
- Physical Therapist
- Snohomish, WA
National Provider Identifier
1124372842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60297952
- Practice address
- 1830 Bickford Ave
Suite 209
Snohomish, WA 98290-1749 - Phone
- (360) 568-7774
- Fax
- (360) 568-7779
- NPI assigned
- Nov 2, 2012
- Sex
- Female
- Sole proprietor
- No
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 | PT60297952 | WA | Primary |
Addresses
Primary practice location
1830 Bickford Ave
Suite 209
Snohomish, WA 98290-1749
Mailing address
1519 132ND St SE
Suite a
Everett, WA 98208-7203
Phone (425) 357-9380
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0302307 | Other | WA | L & I |
| 0302299 | Other | WA | L & I |
| 0302347 | Other | WA | L & I |
| 0302366 | Other | WA | L & I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362355200000",
"number": "1124372842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 132ND ST SE",
"address_2": "SUITE A",
"city": "EVERETT",
"state": "WA",
"postal_code": "982087203",
"telephone_number": "425-357-9380",
"fax_number": "425-357-9382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 BICKFORD AVE",
"address_2": "SUITE 209",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982901749",
"telephone_number": "360-568-7774",
"fax_number": "360-568-7779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOUGH",
"first_name": "HAZEN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-02",
"last_updated": "2013-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60297952",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0302307",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0302299",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0302347",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0302366",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.