Individual provider Active NPI

Todd William Dawes, M.P.T.

  • Physical Therapist
  • Sedro Woolley, WA
National Provider Identifier
1245300136
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008276 Issued in WA
Practice address
638 Sunset Park Dr
Suite 101
Sedro Woolley, WA 98284-1546
Phone
(360) 856-4200
Fax
(360) 856-4220
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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 PT00008276 WA Primary

Addresses

Primary practice location

638 Sunset Park Dr
Suite 101
Sedro Woolley, WA 98284-1546

Mailing address

638 Sunset Park Dr
Suite 101
Sedro Woolley, WA 98284-1546
Phone (360) 856-4200

Other identifiers 2

IdentifierTypeStateIssuer
0227042OtherWADEPT OF LABOR & INDUSTRIE
8436180MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051017000748 WA Practitioner - Physical Therapist in Private Practice 1153347406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sedro Woolley Physical Therapy Inc PSGroup PAC ID 6507948379, 2 clinicians

Practice addresses (Care Compare)

638 Sunset Park Dr
Suite 101
Sedro Woolley, WA 98284-1546
Phone (360) 856-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sedro Woolley Physical Therapy, Inc., PS CurrentSince Jan 1, 2008 Accepting new patients
Burlington Physical Therapy, LLC Physical Therapist PastSince Sep 1, 2005 Accepting new patients
Skagit Island Rehabilitation Group Physical Therapist Past Accepting new patients

Locations

638 Sunset Park Dr
Ste 101
Sedro Woolley, WA
Phone (360) 856-4200

Organizations & group practices 3

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1245300136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 SUNSET PARK DR",
            "address_2": "SUITE 101",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841546",
            "telephone_number": "360-856-4200",
            "fax_number": "360-856-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 SUNSET PARK DR",
            "address_2": "SUITE 101",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841546",
            "telephone_number": "360-856-4200",
            "fax_number": "360-856-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWES",
        "first_name": "TODD",
        "middle_name": "WILLIAM",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIE",
            "identifier": "0227042",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8436180",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.