Katelyn Taylor Skaugset, DPT
Individual provider Active NPI Orthopedic Physical Therapist · Puyallup, WA
NPI 1194386250 · NPPES record last updated Jun 27, 2019
Key facts
- NPI
- 1194386250
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 60962969 (WA)
- Practice address
- 3850 S Meridian Ste 10
Puyallup, WA 98373-3701 - Phone
- (253) 840-1840
- NPI assigned
- Jun 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New Proactive LLC
Practice addresses (Care Compare)
100 E 33Rd St
Suite 204
Vancouver, WA 98663-2776
Phone (360) 823-0138
1630 Beavercreek Rd
Suite a
Oregon City, OR 97045-4156
Phone (503) 607-0047
3400 SE 196TH Ave
Suite 101
Camas, WA 98607-8862
Phone (360) 954-5796
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA, OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200415001483 | WA | Practitioner - Physical Therapist in Private Practice | 7911337944 | Reassigns benefits to 1 organization |
| I20200701003213 | OR | Practitioner - Physical Therapist in Private Practice | 7911337944 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60962969 | WA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Proactive LLC | Orthopedic | Current |
Accepting new patients |
| Omnis Omnia Inc. | Orthopedic | Current |
Accepting new patients |
Locations
1630 Beavercreek Rd
Ste A
Oregon City, OR 97045
Phone (503) 607-0047
450 NW Greenwood Ave
Redmond, OR 97756
Phone (541) 923-0410
1902 SW 9th Ave
Ste 101
Battle Ground, WA 98604
Phone (360) 723-0797
4318 S Settler Dr
#110
Ridgefield, WA 98642
Phone (360) 727-9025
100 E 33rd St
Ste 204
Vancouver, WA 98663
Phone (360) 823-0138
2415 NE 134th St
Ste 201
Vancouver, WA 98686
Phone (360) 859-3346
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 60962969 | WA | Yes |
Addresses
Primary practice location
3850 S Meridian Ste 10
Puyallup, WA 98373-3701
Mailing address
2323 7TH St SE Apt L101
Puyallup, WA 98374-1131
Phone (858) 880-8006
Other providers in Puyallup, WA
- Bobbi A Sipes
- Phaly Sir II
- Audra Sisak
- Brent Sissom
- Jennea Lynn Skaar
- Sandie Skeen-Levy
- Callie Baltz Skiffington
- Linda K Skinner
- Megan Skipper
- Jarrett Skirball
All providers in Puyallup, WA · Orthopedic Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.