Individual provider Active NPI

Rebekah Joy Clogston, DPT

  • Physical Therapist
  • Kenmore, WA
National Provider Identifier
1699235358
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61066078 Issued in WA
Practice address
18151 68TH Ave NE Ste 100
Kenmore, WA 98028-2835
Phone
(425) 686-6760
Fax
(425) 686-6763
NPI assigned
Mar 20, 2019
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2019009236 MO
Physical Therapist 225100000X PT61066078 WA Primary

Addresses

Primary practice location

18151 68TH Ave NE Ste 100
Kenmore, WA 98028-2835

Mailing address

18151 68TH Ave NE
Kenmore, WA 98028-2702

Other practice location 1

1901 Hoag Rd Ste B
Mount Vernon, WA 98273-5626
Phone (360) 814-2184

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rclogston36977@skagit.direct-ci.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220104002697 WA Practitioner - Physical Therapist in Private Practice 5092106807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-1000

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019009236MOMDPhysical Therapist
PT61066078WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Jan 1, 2024 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Public Hospital Dist No 1 Skagit Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Ozarks Medical Center Past Accepting new patients
King County Public Hospital District No 2 Past Accepting new patients

Locations

14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889

18151 68th Ave NE
Ste 100
Kenmore, WA 98028
Phone (425) 485-6561

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

Interoperability endpoints

  • Direct secure messaging: rclogston36977@skagit.direct-ci.com

Organizations & group practices 7

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1699235358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18151 68TH AVE NE",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980282702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18151 68TH AVE NE STE 100",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980282835",
            "telephone_number": "425-686-6760",
            "fax_number": "425-686-6763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Hoag Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982735626",
            "country_code": "US",
            "telephone_number": "360-814-2184",
            "fax_number": "360-814-5515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOGSTON",
        "first_name": "REBEKAH",
        "middle_name": "JOY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2019009236",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61066078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rclogston36977@skagit.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "Provider Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1901 Hoag Rd Ste B",
            "city": "Mount Vernon",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982735626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.