Individual provider Active NPI

Shae Christine Waters Hale, DPT, PT

  • Physical Therapist
  • Lacey, WA
National Provider Identifier
1316832918
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.PT.61639247 Issued in WA
Practice address
8750 Tallon LN NE Ste C
Lacey, WA 98516-6608
Phone
(360) 456-1072
NPI assigned
Jun 12, 2025
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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 PT.PT.61639247 WA Primary

Addresses

Primary practice location

8750 Tallon LN NE Ste C
Lacey, WA 98516-6608

Mailing address

9318 Cardinal Loop
Joint Base Lewis McChord, WA 98433-1262
Phone (949) 554-4299

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260128002892 WA Practitioner - Physical Therapist in Private Practice 0648758011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centralia Physical Therapy Inc PSGroup PAC ID 0648429688, 20 clinicians

Practice addresses (Care Compare)

19548 Vision Dr SW
Suite C
Rochester, WA 98579-8964
Phone (360) 669-0564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT.PT.61639247WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc CurrentSince Jan 12, 2026 Accepting new patients
Physiotherapy Associates, Inc. Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients
Olympia Physical Therapy & Industrial Rehabilitation, Inc. Physical Therapist PastSince Jun 15, 2025 Accepting new patients
Olympia Physical Therapy & Industrial Rehabilitation, Inc. Physical Therapist PastSince Jun 15, 2025 Accepting new patients

Locations

165 Lilly Rd NE
Ste B
Olympia, WA 98506
Phone (360) 455-8014

463 Tremont St W
Ste 100
Port Orchard, WA 98366
Phone (360) 874-0745

23515 NE Novelty Hill Rd
Ste B213
Redmond, WA 98053
Phone (425) 868-5260

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1316832918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 CARDINAL LOOP",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984331262",
            "telephone_number": "949-554-4299",
            "fax_number": "949-554-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 TALLON LN NE STE C",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985166608",
            "telephone_number": "360-456-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS HALE",
        "first_name": "SHAE",
        "middle_name": "CHRISTINE",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT.PT.61639247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.