Individual provider Active NPI

Susan Hogenson, PT

  • Physical Therapist
  • Puyallup, WA
National Provider Identifier
1376648824
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8262 Issued in WA
Practice address
18710 Meridian E
Suite 215
Puyallup, WA 98375-2231
Phone
(253) 875-6826
Fax
(253) 875-1547
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 PT8262 WA Primary

Addresses

Primary practice location

18710 Meridian E
Suite 215
Puyallup, WA 98375-2231

Mailing address

18710 Meridian E
Suite 215
Puyallup, WA 98375-2231
Phone (253) 875-6826

Other identifiers 2

IdentifierTypeStateIssuer
8347155MedicaidWA
157604OtherWALABOR & INDUSTRIES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080902000062 WA Practitioner - Physical Therapist in Private Practice 2264519065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rainier Family Physical Therapy P.S.Group PAC ID 0446337000, 2 clinicians

Practice addresses (Care Compare)

18710 Meridian E
Suite 215
Puyallup, WA 98375-2231
Phone (253) 875-6826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT8262WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rainier Family Physical Therapy P.S. Physical Therapist CurrentSince Jan 30, 2008 Accepting new patients

Locations

18710 Meridian E
Ste 215
Puyallup, WA 98375
Phone (253) 875-6826

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1376648824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18710 MERIDIAN E",
            "address_2": "SUITE 215",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752231",
            "telephone_number": "253-875-6826",
            "fax_number": "253-875-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18710 MERIDIAN E",
            "address_2": "SUITE 215",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752231",
            "telephone_number": "253-875-6826",
            "fax_number": "253-875-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGENSON",
        "first_name": "SUSAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT8262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8347155",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "157604",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.