Jennifer Leanne Dawes, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008651 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 7, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

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)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sedro Woolley Physical Therapy, Inc., PS

  • Physical Therapy Clinic/Center
  • Sedro Woolley, WA
  • NPI 1316124977
  Medicare reassignment Care Compare group NPD Authorized official
• Burlington Physical Therapy, LLC

  • Physical Therapist
  • Burlington, WA
  • NPI 1881674497
  NPD (past)
• Skagit Island Rehabilitation Group

  • Physical Therapist
  • Coupeville, WA
  • NPI 1467432088
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1508935172",
    "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": "JENNIFER",
        "middle_name": "LEANNE",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8436172",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIE",
            "identifier": "0203192",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serena Danville
• Lawrence Alan Darienzo, MA
• Damara Lashay Davis, MA
• Nicole Roberta Davis
• Rielly Davis, SLP
• Todd William Dawes, M.P.T.
• Audrey Elizabeth Dawson
• Briana Marie Day
• Romeo D De la Pena, ND, PHD, REFLEXOLOGY
• Naomi Julianne Deitz

• Physical Therapist in Sedro Woolley, WA
• Providers in Sedro Woolley, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.