Individual provider Active NPI

Angela Marie Dahl, DPT

  • Physical Therapist
  • Puyallup, WA
National Provider Identifier
1194326538
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61078586 Issued in WA
Practice address
8011 112TH Street CT E
Puyallup, WA 98373-7814
Phone
(253) 848-0662
NPI assigned
Nov 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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 PT61078586 WA Primary

Addresses

Primary practice location

8011 112TH Street CT E
Puyallup, WA 98373-7814

Mailing address

PO Box 5299
Ms: 1313-5-Pco
Tacoma, WA 98415-0299

Other names 1

  • Angela Marie Fischer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201201000914 WA Practitioner - Physical Therapist in Private Practice 8820409543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788

31653 Pacific Hwy S
Suite B
Federal Way, WA 98003-5496
Phone (253) 252-7137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Physical Therapist CurrentSince Oct 16, 2020 Accepting new patients
Multicare Health System CurrentSince Oct 16, 2020 Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Therapeutic Associates Inc Physical Therapist Current Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Multicare Health System Current Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153

31653 Pacific Hwy S
Ste B
Federal Way, WA 98003
Phone (253) 252-7137

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

1408 N Louisiana St
Ste 104A
Kennewick, WA 99336
Phone (509) 783-1962

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

17901 Bothell Everett Hwy
Mill Creek, WA 98012
Phone (425) 424-3924

8011 112th Street Ct E
Puyallup, WA 98373
Phone (253) 848-0662

4532 42nd Ave SW
Ste 101
Seattle, WA 98116
Phone (206) 932-8363

5420 Barnes Ave NW
Seattle, WA 98107
Phone (206) 789-7975

100 W Harrison St
Ste 160
Seattle, WA 98119
Phone (206) 352-0105

17700 SE Mill Plain Blvd
Ste 150
Vancouver, WA 98683
Phone (360) 514-9383

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": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1194326538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5299",
            "address_2": "MS: 1313-5-PCO",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984150299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 112TH STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983737814",
            "telephone_number": "253-848-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61078586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "FISCHER",
            "middle_name": "MARIE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.