Active NPI
Peggy A Halwachs, P.T.
- Physical Therapist
- Edmonds, WA
National Provider Identifier
1295859049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00003179
- Practice address
- 190 W Dayton St
Suite 202
Edmonds, WA 98020-4182 - Phone
- (425) 582-8118
- Fax
- (425) 582-7420
- NPI assigned
- Mar 19, 2007
- Last updated
- Feb 10, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | PT00003179 | WA | |
| Orthopedic Physical Therapist | 2251X0800X | PT00003179 | WA | |
| Physical Therapist | 225100000X | PT00003179 | WA | Primary |
Addresses
Primary practice location
190 W Dayton St
Suite 202
Edmonds, WA 98020-4182
Mailing address
7320 216TH St SW Ste 320
Edmonds, WA 98026-8006
Phone (425) 673-3900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363574 | Other | WA | WA LABOR & INDUSTRIES |
| 2088291 | Medicaid | WA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00003179 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waterfront Sports and Physical Therapy | Orthopedic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Motus Physical Therapy
- Orthopedic Physical Therapist
- Shoreline, WA
- NPI 1164546016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1295859049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320 216TH ST SW STE 320",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268006",
"telephone_number": "425-673-3900",
"fax_number": "425-673-3910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 W DAYTON ST",
"address_2": "SUITE 202",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980204182",
"telephone_number": "425-582-8118",
"fax_number": "425-582-7420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALWACHS",
"first_name": "PEGGY",
"middle_name": "A",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "WA",
"license": "PT00003179",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WA",
"license": "PT00003179",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00003179",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LABOR & INDUSTRIES",
"identifier": "363574",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2088291",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.