GIA MARIE CALABRESE PT NPI 1730580689

Physical Therapist in Snohomish, WA

NPI 1730580689 Individual Female Years of Experience 7 Physical Therapist Accepts Medicare Approved Payment Medicare Quality Reporting

About GIA CALABRESE

Gia Calabrese is a provider established in Snohomish, Washington and her medical specialization is physical therapist with more than 7 years of experience. The NPI number of Gia Calabrese is 1730580689 and was assigned on September 2014. The practitioner's primary taxonomy code is 225100000X with license number PT60501885 (WA). The provider is registered as an individual and her NPI record was last updated 7 years ago. Gia Calabrese 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 provider participated in Medicare's Quality Payment Program and the following quality measures were reported: pain assessment and follow-up. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1730580689

Provider Name GIA MARIE CALABRESE PT
Provider Location Address231 AVENUE D SNOHOMISH, WA 98290
Provider Mailing Address10505 19TH AVE SE SUITE B EVERETT, WA 98208
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2014
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-10-2014
Last Update Date09-10-2014


Primary Taxonomy

Taxonomy Code225100000X
ClassificationPhysical Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.PT60501885
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

GIA MARIE CALABRESE PT
231 AVENUE D
SNOHOMISH, WA
ZIP 98290
Phone: (360) 563-1020
Fax: (360) 563-9040

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Mailing Address

GIA MARIE CALABRESE PT
10505 19TH AVE SE
SUITE B
EVERETT, WA
ZIP 98208
Phone: (408) 570-0510
Fax: (408) 945-4018



Medicare Participation

PECOS PAC ID1557683240
PECOS Enrollment IDI20141209000005
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.

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.

  • 281Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • 113Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
  • 39Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care (HCPCS:G0283)
  • 28Physical therapy evaluation (HCPCS:97001)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Pain Assessment and Follow-Up 100% 24

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
PENDINGMEDICARE PIN (08)WA

Other Providers at the same location


The following 10 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
1326439050 ANDREA VOS
Individual
Physical Therapy Assistant231 AVENUE D
SNOHOMISH, WA 98290
(360) 563-1020
1114448503 NICHOLAS LEE CARTER
Individual
Physical Therapist231 AVENUE D
SNOHOMISH, WA 98290
1003392523 TYLER ANTHONY COX
Individual
Physical Therapist231 AVENUE D
SNOHOMISH, WA 98290
(425) 239-3145
1043793698 KATHERINE TOUGAS DPT
Individual
Physical Therapist231 AVENUE D
SNOHOMISH, WA 98290
(360) 563-1020
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

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.