Individual provider Active NPI

Rebecca Ann Potter-Vanhoogstraat, PT, DPT

  • Physical Therapist
  • Port Orchard, WA
National Provider Identifier
1831362284
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61615726 Issued in WA
Practice address
451 SW Sedgwick Rd
Port Orchard, WA 98367-6447
Phone
(360) 845-1801
NPI assigned
Apr 7, 2008
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highline Physical Therapy Group 46 clinicians

Practice addresses (Care Compare)

451 SW Sedgwick Rd
Suite 310
Port Orchard, WA 98367-6447
Phone (360) 845-1801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA2 enrollments

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20080421000208 AZ Practitioner - Physical Therapist in Private Practice 5193803930 Reassigns benefits to 1 organization
I20241120002533 WA Practitioner - Physical Therapist in Private Practice 5193803930 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT61615726WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Highline Physical Therapy Group Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
360 Physical Therapy LLC Physical Therapist CurrentSince Apr 7, 2008 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
360 Physical Therapy, LLC Current Accepting new patients
360 Physical Therapy LLC Past Accepting new patients
Highline Physical Therapy Group Physical Therapist PastSince Nov 10, 2024 Accepting new patients

Locations

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116

3921 E Baseline Rd
Ste 105
Gilbert, AZ 85234
Phone (480) 503-2373

4210 E Baseline Rd
Ste 106
Mesa, AZ 85206
Phone (480) 503-2373

1805 N Scottsdale Rd
Ste 103
Tempe, AZ 85288

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400

451 SW Sedgwick Rd
Ste 310
Port Orchard, WA 98367
Phone (360) 874-8009

465 Renton Center Way SW
Ste A
Renton, WA 98057
Phone (425) 243-8262

1215 N McDonald Rd
Ste 102
Spokane Valley, WA 99216
Phone (509) 319-2029

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8058 AZ
Physical Therapist 225100000X PT61615726 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

451 SW Sedgwick Rd
Port Orchard, WA 98367-6447

Mailing address

451 SW Sedgwick Rd
Port Orchard, WA 98367-6447
Phone (360) 845-1801

Other names 1

NPPES NPI Registry
  • Rebecca Ann Potter Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 8, 2024.

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1831362284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 SW SEDGWICK RD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983676447",
            "telephone_number": "360-845-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 SW SEDGWICK RD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983676447",
            "telephone_number": "360-845-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER-VANHOOGSTRAAT",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8058",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61615726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "POTTER",
            "middle_name": "ANN",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.