Rooted Physical Therapy Pllc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Friday Harbor, Washington. Their current practice location is
669 Mullis St Ste 103, Friday Harbor, Washington. You can reach out to their office (for appointments etc.) via phone at
(360) 207-5749.
Rooted Physical Therapy Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Rooted Physical Therapy Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1962970392.
Healthcare Provider's Profile
| Full Name | Rooted Physical Therapy Pllc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 669 Mullis St Ste 103, Friday Harbor, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962970392
- Provider Enumeration Date: 11/03/2018
- Last Update Date: 05/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 3375980907
- Enrollment ID: O20240319001642
Medical Identifiers
Medical identifiers for Rooted Physical Therapy Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962970392 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Rooted Physical Therapy Pllc acts as a billing entity for following providers:
| Provider Name | Roberta M Stringer |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1194076240
PECOS PAC ID: 8426270687
Enrollment ID: I20141104001573 |
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| Provider Name | Kathleen A Burns |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1770991531
PECOS PAC ID: 8820219637
Enrollment ID: I20240402004163 |
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| Provider Name | Matthieu Thierry Marie Haentjens |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1487428702
PECOS PAC ID: 3577009992
Enrollment ID: I20240722003377 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rooted Physical Therapy Pllc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Rooted Physical Therapy Pllc
Po Box 1625,
Friday Harbor, WA 98250-1625
Ph: (360) 622-8101 | Rooted Physical Therapy Pllc
669 Mullis St Ste 103,
Friday Harbor, WA 98250-7902
Ph: (360) 207-5749 |
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