Summer Rae Koogler, PT, DPT in Lacey, WA - Medicare Physical Therapist Provider

Summer Rae Koogler, PT, DPT is a medicare enrolled "Physical Therapist" provider in Lacey, Washington. Her current practice location is 5730 Ruddell Rd Se Ste A, Lacey, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 338-3901.

Summer Rae Koogler is licensed to practice in Washington (license number PT61664599) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063125243.

Contact Information

	Summer Rae Koogler, PT, DPT
	5730 Ruddell Rd Se Ste A, Lacey, WA 98503-6400
	(360) 338-3901
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Summer Rae Koogler
Gender	Female
Speciality	Physical Therapist
Location	5730 Ruddell Rd Se Ste A, Lacey, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063125243
Provider Enumeration Date: 01/03/2023
Last Update Date: 03/19/2025

Medicare PECOS Information:

PECOS PAC ID: 5193188738
Enrollment ID: I20230829003647

Medical Identifiers

Medical identifiers for Summer Rae Koogler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063125243	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2023032460 (Missouri)	Secondary
225100000X	Physical Therapist	PT61664599 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Summer Rae Koogler allows following entities to bill medicare on her behalf.

Provider Name	Serc Rehabilitation Partners Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1760745244 PECOS PAC ID: 9830344563 Enrollment ID: O20130304000500

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. Summer Rae Koogler 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
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

Reviews and Comments

Physical Therapist in Lacey, WA

Dorothy Kilvington, DPT Physical Therapist Medicare: Medicare Enrolled 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: Medicare Enrolled 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

Summer Rae Koogler, PT, DPT - Medicare Physical Therapist in Lacey, WA