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NPI 1659617348ActiveOrganization· Physical Therapist· Everett, WA

Physical Therapist in Everett, Washington, registered in NPPES in December 2012. The authorized official on file is Connie J. Klagge, PT, President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1659617348
StatusActive
Entity typeOrganization
NPI issuedDec 27, 2012
Last updated in NPPESDec 27, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (WA)

Medicare sources and data years

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