Dale Hoistad, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00003968 Issued in WA

Practice address

3726 Broadway
Suite 104
Everett, WA 98201-5030

Phone

(425) 252-4600

Fax

(425) 252-4477

NPI assigned

Feb 9, 2007

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cascade Rehabilitation Associates PLLCGroup PAC ID 2567375728, 16 clinicians

Summit Rehabilitation PLLCGroup PAC ID 9133012362, 54 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.

• Cascade Rehabilitation Associates, PLLC

  dba Cascade Rehabilitation

  • Occupational Therapist
  • Everett, WA
  • NPI 1245361617

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Summit Rehabilitation PLLC

  dba Summit Rehab

  • Multi-Specialty Clinic/Center
  • Lake Stevens, WA
  • NPI 1558492934

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Cascade Rehabilitation Associates, PLLC

  • Physical Therapist
  • Mukilteo, WA
  • NPI 1770359010
  NPD
• Summit Rehabilitation PLLC

  • Physical Therapist
  • Everett, WA
  • NPI 1760374771
  NPD

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1548301708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 19TH AVE SE",
            "address_2": "SUITE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084280",
            "telephone_number": "408-570-0510",
            "fax_number": "408-945-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 BROADWAY",
            "address_2": "SUITE 104",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982015030",
            "telephone_number": "425-252-4600",
            "fax_number": "425-252-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOISTAD",
        "first_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8351256",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alanna Rae Hoftiezer, ADN, RN
• Josh Shane Hogan, SUDP
• Kelli Jo Hogan, MA, LMHC, MHP
• Michael Hogan, DC, DACBSP
• Colton James Hoggarth
• Hojoong Ryu DDS PLLC
• Ryan K Hoke, M.D.
• Roger Holbrook
• Joshua J Holcomb
• Alison Holdt, RN

• Physical Therapist in Everett, WA
• Providers in Everett, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.