Doctor profile · Federal record
Dr. Stacey Ellingson, PT
Physical Therapist · Bothell, WA
- NPI 1104001452
- 18 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
12900 Ne 180Th St Ste 110
Bothell, WA 980115773
(425) 483-4270
fax (425) 483-4268 - Additional location
-
19119 N Creek Pkwy Ste 107
Bothell, WA 980118023
(425) 486-8800
fax (425) 485-8848 - Mailing address
-
Po Box 2170
Sumner, WA 983900480
Credentials & registration
- NPI registered
- January 2008 — 18 yrs on file
- Profile last updated
- April 4, 2018
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- Washington #PT00010820
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104001452. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
300
Distinct HCPCS
3
Medicare allowed
$9,004
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 161 | 12 | $27 | |
97530 |
Therapy procedure using functional activities | 92 | 15 | $35 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 47 | 12 | $30 |
In context: peer comparison
Among 19 peers in Bothell Physical Therapist, average services per provider: 214. This provider delivers 1.4× the peer median.Frequently asked questions
What is Dr. Stacey Ellingson's medical specialty?
Dr. Stacey Ellingson practices Physical Therapist in Bothell, WA.
Where does Dr. Stacey Ellingson practice?
Dr. Stacey Ellingson practices at 12900 Ne 180Th St Ste 110, Bothell, WA 980115773. Office phone: 4254834270.
What is Dr. Stacey Ellingson's NPI?
Dr. Stacey Ellingson's National Provider Identifier (NPI) is 1104001452, issued by NPPES.
What procedures does Dr. Stacey Ellingson commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using functional activities (HCPCS 97530); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112). Source: CMS Medicare Physician & Other Practitioners file.