Active NPI
Rebekah Joy Clogston, DPT
- Physical Therapist
- Kenmore, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61066078
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
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 100
- Quality
- 73.46
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019009236 | MO | MD | Physical Therapist |
| PT61066078 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| King County Public Hospital District No. 2 | Physical Therapist | Current | Accepting new patients |
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Physical Therapist | Current | 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
- 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.
-
dba Booth Gardner Parkinsons Care Center
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
dba Skagit Regional Clinics
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
dba EvergreenHealth at Home Physical Therapy
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
dba EvergreenHealth Medical Group King County
- Clinic/Center
- Redmond, WA
- NPI 1750612883
-
dba Skagit Regional Health - Mount Vernon Physical Therapy
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
-
dba EvergreenHealth Medical Group Snohomish County
- Family Medicine Physician
- Bothell, WA
- NPI 1902907165
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
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.