Individual provider Active NPI

Rachael R Hendrickson, DPT

  • Physical Therapist
  • Puyallup, WA
National Provider Identifier
1376898528
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60287657 Issued in WA
Practice address
18710 Meridian E
Suite 215
Puyallup, WA 98375-2231
Phone
(253) 875-6826
Fax
(253) 875-1547
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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 PT60287657 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130131000533 WA Practitioner - Physical Therapist in Private Practice 1254585011 Reassigns benefits to 1 organization
Practice locations: Olympia, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Feb 21, 2022 Accepting new patients
Multicare Health System CurrentSince Feb 21, 2022 Accepting new patients
Multicare Health System Current Accepting new patients
Rainier Family Physical Therapy P.S. Physical Therapist PastSince Jun 4, 2008 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

3504 12th Ave NE
Olympia, WA 98506
Phone (253) 459-8009

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

Organizations & group practices 4

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": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1376898528",
    "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": "HENDRICKSON",
        "first_name": "RACHAEL",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60287657",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.