Individual provider Active NPI

Angela Denise Huxtable, PT, DPT

  • Physical Therapist
  • Bellingham, WA
National Provider Identifier
1659690030
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021015 Issued in PA
Practice address
800 E Chestnut St Ste 200
Bellingham, WA 98225-5241
Phone
(360) 788-8143
NPI assigned
May 24, 2010
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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 PT021015 PA Primary

Addresses

Primary practice location

800 E Chestnut St Ste 200
Bellingham, WA 98225-5241

Mailing address

4637 Morgan St
Bellingham, WA 98229-5239
Phone (564) 209-8769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT021015PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Patch Technique PLLC PastSince Apr 23, 2023 Accepting new patients
Integrated Physical Therapy, LLC Physical Therapist PastSince Sep 15, 2004 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1659690030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4637 MORGAN ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982295239",
            "telephone_number": "564-209-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CHESTNUT ST STE 200",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255241",
            "telephone_number": "360-788-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUXTABLE",
        "first_name": "ANGELA",
        "middle_name": "DENISE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.