Tracee Jean Martin Karlson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00007810 Issued in WA

Practice address

1802 Black Lake Blvd SW Ste 103
Olympia, WA 98512-5634

Phone

(360) 584-4556

Fax

(360) 251-0011

NPI assigned

Sep 21, 2005

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

Other identifiers 1

Other names 1

• Tracee J Martin Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Foundations Therafitness and Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Olympia, WA
  • NPI 1083239073

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Providence Health & Services Washington

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1174744304
  Medicare reassignment NPD

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1982690467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 TIGER TAIL DR SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985122141",
            "telephone_number": "360-584-4556",
            "fax_number": "360-251-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 BLACK LAKE BLVD SW STE 103",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125634",
            "telephone_number": "360-584-4556",
            "fax_number": "360-251-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARLSON",
        "first_name": "TRACEE",
        "middle_name": "JEAN MARTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0177730",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEE",
            "last_name": "MARTIN",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evelyn Karhnet
• Vivien Wanjiru Kariuki
• Katie Karkowski, PHARM.D.
• Helen W Karl
• Helen Karlson, PT
• John T Karpel, MD
• Jeffrey Tyler Kasnick, ARNP, FNP-BC
• Kathleen M. Hurd MD PS
• Katrina Prime Counseling, PLLC
• Alexander I Kats, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.