Clea Camilla Hixon, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00007598 Issued in WA

Practice address

118 17TH Ave E
#2
Seattle, WA 98112-5214

Phone

(206) 322-4240

NPI assigned

Jun 1, 2007

Last updated

May 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehab Specialists Outpatient LLCGroup PAC ID 6507254497, 46 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rehab Specialists Outpatient, LLC

  dba AgeSTRONG Hearthstone

  • Clinic/Center
  • Milwaukie, OR
  • NPI 1821718008

  Physical Therapist, WA

  Medicare reassignment Care Compare group NPD
• Premere Rehab LLC

  dba Infinity Rehab

  • Physical Therapist
  • Wilsonville, OR
  • NPI 1245278639

  WA

  Medicare reassignment NPD
• Premere Rehab LLC

  dba Infinity Rehab

  • Physical Therapist
  • Tacoma, WA
  • NPI 1689063448
  NPD
• Rehab Specialists Outpatient, LLC

  dba AgeRight Therapy Hope Village

  • Clinic/Center
  • Canby, OR
  • NPI 1437019015

  Physical Therapist

  NPD
• Therapeutic Associates Inc

  dba TAI - North Creek

  • Physical Therapist
  • Bothell, WA
  • NPI 1114376563
  NPD (past)
• Therapeutic Associates Inc

  dba TAI Cedar Hills Physical Therapy

  • Physical Therapist
  • Portland, OR
  • NPI 1700862000
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1235331489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD",
            "address_2": "SUITE 300",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247736",
            "telephone_number": "800-219-8835",
            "fax_number": "503-639-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 17TH AVE E",
            "address_2": "#2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981125214",
            "telephone_number": "206-322-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIXON",
        "first_name": "CLEA",
        "middle_name": "CAMILLA",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265331489",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235331489",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sadie Hitsky, RD
• Erin Hittesdorf
• Sula Hitzeman
• Charles Leighton Hitztaler, DNP FNP-C
• Brianna Hiukka
• Jill Kristine Hiyoto, LICSW
• Elwin David Hjellen, D.O.
• Mary E Hjelm, ARNP
• Rebecca Hjorten Kohlberg, M.D.
• Arkar Ye Hlaing

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.