Alexandra Skogsdatter, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61341540 Issued in WA

Practice address

158 W Spruce St
Sequim, WA 98382-3350

Phone

(360) 504-2390

Fax

(360) 785-6055

NPI assigned

Oct 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fox Rehab PT Wa LLC

  • Physical Therapist
  • Seattle, WA
  • NPI 1780474056
  Medicare reassignment NPD
• Joseph Edwin Brenner, DPT

  • Physical Therapist
  • Sequim, WA
  • NPI 1114937257
  Medicare reassignment
• Infinity Physical Therapy

  • Physical Therapist
  • Sequim, WA
  • NPI 1417414566
  NPD

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1760107981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 FINDLEY RD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983628174",
            "telephone_number": "805-728-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 W SPRUCE ST",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823350",
            "telephone_number": "360-504-2390",
            "fax_number": "360-785-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOGSDATTER",
        "first_name": "ALEXANDRA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61341540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Edward Sienko, M.D.
• Sight Partners Physicians, P.C.
• Elizabeth Inez Silva, LMSW, LSWAIC
• Michelle L Simmons-Wolfgang, LMP
• Sindie Sheeler Denture Clinic, LLC
• Jeanine C Sloane, M.A.
• Colin Eric Smemo, PTA
• Janine Lauren Smith, DC
• Kristine Louise Smith, L.M.P
• Barbara Solomon, LMFT

• Physical Therapist in Sequim, WA
• Providers in Sequim, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.