| Summer Rae Koogler, PT, DPT | |
|
5730 Ruddell Rd Se Ste A, Lacey, WA 98503-6400 | |
| (360) 338-3901 | |
| Not Available |
| Full Name | Summer Rae Koogler |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 3 Years |
| Location | 5730 Ruddell Rd Se Ste A, Lacey, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063125243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2023032460 (Missouri) | Secondary |
| 225100000X | Physical Therapist | PT61664599 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ati Holdings Of Arizona Llc | 2466732862 | 182 |
| Northwest Center For Sports Medicine And Physical Therapy Inc | 1759278542 | 69 |
| Provider Name | Ati Holdings Of Arizona Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871570309 PECOS PAC ID: 2466732862 Enrollment ID: O20161130001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Summer Rae Koogler, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 497-0005 | Summer Rae Koogler, PT, DPT 5730 Ruddell Rd Se Ste A, Lacey, WA 98503-6400 Ph: (360) 338-3901 |
Dorothy Kilvington, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 130 Marvin Rd Se Ste 203, Lacey, WA 98503 Phone: 360-456-3300 | |
Abigail Namocatcat, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4200 6th Ave Se, Suite 201, Lacey, WA 98503 Phone: 360-459-8311 | |
Nicole Dominique Jalandoni Vasquez, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1445 Galaxy Dr Ne Ste 301, Lacey, WA 98516 Phone: 360-456-1444 | |
Juman Park, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4800 College St Se, Lacey, WA 98503 Phone: 360-486-2900 | |
Samantha Rossi Perdue, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7940 29th Ave Ne Ste 101, Lacey, WA 98516 Phone: 360-870-2473 | |
Kathleen G Jech, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4770 Yelm Hwy Se, Lacey, WA 98503 Phone: 360-491-6074 Fax: 360-491-6192 |