Individual provider Active NPI

Elizabeth Jusko, PT, DPT, MS

  • Physical Therapist
  • Snohomish, WA
National Provider Identifier
1750951042
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.PT.6116383 Issued in WA
Practice address
13119 Seattle Hill Rd Ste 107
Snohomish, WA 98296-3402
Phone
(425) 224-4490
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 PT.PT.6116383 WA Primary

Addresses

Primary practice location

13119 Seattle Hill Rd Ste 107
Snohomish, WA 98296-3402

Mailing address

9229 160TH St SE
Snohomish, WA 98296-7030
Phone (425) 359-3437

Other practice location 1

9802 48th Dr NE
Marysville, WA 98270-8100
Phone (360) 572-5801

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211026001829 WA Practitioner - Physical Therapist in Private Practice 7012305907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seattle Hill Physical Therapy LLCGroup PAC ID 2365639184, 3 clinicians

Practice addresses (Care Compare)

13119 Seattle Hill Rd
Suite 107
Snohomish, WA 98296-3402
Phone (425) 224-4490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT.PT.6116383WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Hill Physical Therapy LLC CurrentSince Sep 7, 2021 Accepting new patients

Locations

13119 Seattle Hill Rd
Ste 107
Snohomish, WA 98296
Phone (425) 224-4490

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1750951042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 160TH ST SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982967030",
            "telephone_number": "425-359-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13119 SEATTLE HILL RD STE 107",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982963402",
            "telephone_number": "425-224-4490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9802 48th Dr NE",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982708100",
            "country_code": "US",
            "telephone_number": "360-572-5801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSKO",
        "first_name": "ELIZABETH",
        "credential": "PT, DPT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT.PT.6116383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.