Angelica R Hulett, BSK, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

6066 Highway 291
Nine Mile Falls, WA 99026-5008

Phone

(509) 465-5663

Fax

(509) 467-8663

NPI assigned

Sep 12, 2024

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

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gordon Physical Therapy PLLCGroup PAC ID 1153229596, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Gordon Physical Therapy, PLLC

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1265585335
  Medicare reassignment Care Compare group NPD
• Phase 1 Physical Therapy PS

  • Physical Therapist
  • Nine Mile Falls, WA
  • NPI 1235189135
  NPD (past)

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1629804885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6066 HIGHWAY 291",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990265008",
            "telephone_number": "509-465-5663",
            "fax_number": "509-467-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6066 HIGHWAY 291",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990265008",
            "telephone_number": "509-465-5663",
            "fax_number": "509-467-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULETT",
        "first_name": "ANGELICA",
        "middle_name": "R",
        "credential": "BSK, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Garcia
• Stephanie Gladden
• June S Goldman, M.D.
• Angeleen Marie Graves, ARNP
• Greater Spokane Therapies
• Jodi Johnson-Katz, PTA
• Jessica Kaluza, LMHC
• Nuala Kelly, LMT
• Blake H Lavin, DPT
• Michael Jacob Loeffler, PHYSICIAN ASSISTANT

• Physical Therapist in Nine Mile Falls, WA
• Providers in Nine Mile Falls, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.