IndividualActive
Stacey Ellingson, PT
NPI 1104001452 · Physical Therapist · Bothell, WA
Provider details
- NPI number
- 1104001452
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- PT00010820 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(92/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12900 Ne 180th St Ste 110
Bothell, WA 98011-5773
Phone: (425) 483-4270
Fax: (425) 483-4268
Street-level locationGet directions
Mailing address
Po Box 2170
Sumner, WA 98390-0480
Additional practice locations (1)
- 19119 N Creek Pkwy Ste 107Bothell, WA 98011-8023Phone: (425) 486-8800Fax: (425) 485-8848
Registry dates
- Enumerated
- 2008-01-07
- Last updated
- 2018-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.