Active NPI
Katelyn Halicks, DPT
- Physical Therapist
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60572443
- Practice address
- 1901 S 72ND St
Suite a-1
Tacoma, WA 98408-1200 - Phone
- (253) 475-4870
- Fax
- (253) 475-4873
- NPI assigned
- Sep 1, 2015
- Last updated
- Sep 1, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60572443 | WA | Primary |
Addresses
Primary practice location
1901 S 72ND St
Suite a-1
Tacoma, WA 98408-1200
Mailing address
9315 Gravelly Lake Dr SW
Suite 306
Lakewood, WA 98499-1574
Phone (253) 581-5200
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
6704 Tacoma Mall Blvd
Suite 100
Tacoma, WA 98409-9001
Phone (253) 475-4870
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Olympic Sports and Spine Rehabilitation, P.S. | Physical Therapist | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
8011 112th Street Ct E
Puyallup, WA 98373
Phone (253) 848-0662
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
7727 40th St W
Ste A
University Place, WA 98466
Phone (253) 460-1362
Organizations & group practices 4
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 Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba MultiCare Imaging - King
- Diagnostic Radiology Physician
- Covington, WA
- NPI 1578803839
-
- Physical Therapist
- Puyallup, WA
- NPI 1144685306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1750758280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9315 GRAVELLY LAKE DR SW",
"address_2": "SUITE 306",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984991574",
"telephone_number": "253-581-5200",
"fax_number": "253-581-5203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S 72ND ST",
"address_2": "SUITE A-1",
"city": "TACOMA",
"state": "WA",
"postal_code": "984081200",
"telephone_number": "253-475-4870",
"fax_number": "253-475-4873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALICKS",
"first_name": "KATELYN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-01",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60572443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.