Dara L Headrick, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OP61044108 Issued in WA

Practice address

1717 13TH St Ste 401
Everett, WA 98201-1621

Phone

(425) 261-4910

Fax

(425) 261-4957

NPI assigned

Apr 21, 2006

Last updated

Mar 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Post-Acute Physicians of Washington PLLCGroup PAC ID 0648494591, 3 clinicians

Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Swedish Rehabilitation Hospital Inpatient rehabilitation facility, Lynnwood, WA, CCN 503027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dheadrick1252665@wm.providencedirect.org

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.

• Post-Acute Physicians of Washington PLLC

  • Physical Medicine & Rehabilitation Physician
  • Seattle, WA
  • NPI 1538581152
  Medicare reassignment Care Compare group NPD
• Providence Health & Services- Washington

  dba PMG NW Wa

  • General Practice Physician
  • Everett, WA
  • NPI 1124270715
  Medicare reassignment NPD
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group
• Providence Health & Services - Washington

  dba PMG NW WA Monroe Family Medicine

  • Family Medicine Physician
  • Monroe, WA
  • NPI 1225289333
  NPD
• Northwest Washington Rehabilitation Hospital LLC

  dba Providence Swedish Rehabilitation Hospital

  • Rehabilitation Hospital
  • Lynnwood, WA
  • NPI 1306628821
  NPD (past)
• Providence Health & Services-Wa

  • Rehabilitation Hospital Unit
  • Everett, WA
  • NPI 1730330838
  NPD (past)
• Boike Medical Services PLLC

  • Neurology Physician
  • Flint, MI
  • NPI 1467645317
  NPD (past)
• Genesys Regional Medical Center

  dba Genesys Therapy Services

  • Physical Therapist
  • Grand Blanc, MI
  • NPI 1972643146
  NPD (past)
• Integrative Spine and Pain Management, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Brighton, MI
  • NPI 1184863748
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Washington Rehabilitation Hospital LLC

  dba Providence Swedish Rehabilitation Hospital

  • Rehabilitation Hospital
  • Lynnwood, WA
  • NPI 1306628821

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1912963711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 13TH ST STE 401",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011621",
            "telephone_number": "425-261-4910",
            "fax_number": "425-261-4957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 Pacific Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982014147",
            "country_code": "US",
            "telephone_number": "425-261-4910",
            "fax_number": "425-261-4957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEADRICK",
        "first_name": "DARA",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101011645",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "OP61044108",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "WA",
            "license": "OP61044108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dheadrick1252665@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "916 Pacific Ave Fl 2",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982014147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charlene Haynes, CDPT
• Bradley Paul Hayton, PH.D.
• Carlisle Haywood, BS, AAC, CLIN 1
• Alexander Norman Andrew Hazellief, RN
• Yuechan He
• Healthcare Resource Northwest, LLC
• Healthforce Partners, Inc
• Healthforce Partners, Inc
• Healthy Balance Natural Medicine PLLC (Sound Holistic Health Clinic)
• Healthy Balance Natural Medicine, PLLC

• Physical Medicine & Rehabilitation Physician in Everett, WA
• Providers in Everett, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.