KATHERINE TOUGAS DPT NPI 1043793698
Physical Therapist in Snohomish, WA

About KATHERINE TOUGAS DPT

Katherine Tougas is a provider established in Snohomish, Washington and her medical specialization is Physical Therapist with more than 6 years of experience. She graduated from University Of Washington School Of Medicine in 2018. The NPI number of this provider is 1043793698 and was assigned on September 2018. The practitioner's primary taxonomy code is 225100000X with license number PT60845228 (WA). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1043793698
Provider Name KATHERINE TOUGAS DPT
Location Address231 AVENUE D SNOHOMISH, WA 98290
Location Phone(360) 563-1020
Mailing Address16902 25TH AVE NE LAKE FOREST PARK, WA 98155
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year2018
Is Sole Proprietor?No
Enumeration Date09-10-2018
Last Update Date09-10-2018

Katherine Tougas is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.63 for a new patient copayment and $18.43 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code225100000X
ClassificationPhysical Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.PT60845228
License StateWA
Taxonomy DescriptionPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Business Address

231 AVENUE D
SNOHOMISH, WA
ZIP 98290
Phone: (360) 563-1020

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Mailing Address

16902 25TH AVE NE
LAKE FOREST PARK, WA
ZIP 98155
Phone: (425) 361-6789


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

PECOS PAC ID8729327085
PECOS Enrollment IDI20190304001430
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 98290 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$58.96 $178.29 $90.52
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.74 $44.57 $22.63
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.53 $145.92 $73.74
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.63 $36.48 $18.43

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 321Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
  • 250Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • 146Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes (HCPCS:97530)
  • 108Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • 17Evaluation of physical therapy, typically 20 minutes (HCPCS:97161)
  • 12Evaluation of physical therapy, typically 30 minutes (HCPCS:97162)

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043793698
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20831496618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 1 + 4 + 9 + 6 + 6 + 1 + 8 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1043793698 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497896575MRS. NANCY C FOGEL PT
Individual
Physical Therapist231 AVENUE D
SNOHOMISH, WA 98290
(360) 563-1020
1003003591SUMMIT REHABILITATION LLC
Organization
Physical Therapist231 AVENUE D
SNOHOMISH, WA 98290
(360) 563-1020
1912048737MR. TIMOTHY M PETERSON PT
Individual
Physical Therapist231 AVENUE D
SNOHOMISH, WA 98290
(360) 563-1020
1730580689 GIA MARIE CALABRESE PT
Individual
Physical Therapist231 AVENUE D
SNOHOMISH, WA 98290
(360) 563-1020
1326439050 ANDREA VOS
Individual
Physical Therapy Assistant231 AVENUE D
SNOHOMISH, WA 98290
(360) 563-1020
1003392523 TYLER ANTHONY COX
Individual
Physical Therapist231 AVENUE D
SNOHOMISH, WA 98290
(425) 239-3145
1518511997DR. SAMANTHA JOAN CHISHOLM PT
Individual
Physical Therapist231 AVENUE D
SNOHOMISH, WA 98290
(360) 563-1020
1801421573 RAILEY NADINE HANSEN-KEITH DPT
Individual
Physical Therapist231 AVENUE D
SNOHOMISH, WA 98290
(360) 563-1020
1770168080 ERIN VAN DYCK
Individual
Physical Therapy Assistant231 AVENUE D
SNOHOMISH, WA 98290
(360) 563-1020
1699445270 DANIEL EUN
Individual
Physical Therapist231 AVENUE D
SNOHOMISH, WA 98290
(360) 563-1020
1114448503 NICHOLAS LEE CARTER
Individual
Physical Therapist231 AVENUE D
SNOHOMISH, WA 98290
(360) 563-1020

Frequently Asked Questions

What is Katherine Tougas DPT NPI number?

The NPI number assigned to this healthcare provider is 1043793698, registered as an "individual" on September 10, 2018

Where is Katherine Tougas DPT located?

The provider is located at 231 Avenue D Snohomish, Wa 98290 and the phone number is (360) 563-1020

Which is Katherine Tougas DPT specialty?

The provider's speciality is Physical Therapist

How many years of experience does Katherine Tougas DPT have?

The provider has more than 6 years of experience. She graduated from University Of Washington School Of Medicine in 2018.

How much is a visit to Katherine Tougas DPT?

Medicare beneficiaries should expect a typical cost of $90.52 with an average copayment of $22.63 for new patient appointments. Established patients should expect a typical charge of $73.74 and an average copayment of 18.43. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Katherine Tougas DPT?

The most common procedures or services performed by this practitioner are: Manual (physical) therapy techniques to 1 or more regions, each 15 minutes, Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes, Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes, Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes, Evaluation of physical therapy, typically 20 minutes and Evaluation of physical therapy, typically 30 minutes.

How do I update my NPI information?

The NPI record of Katherine Tougas DPT was last updated on September 10, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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