Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacey A Ellingson, PT

Individual provider Physical Therapist · NPI 1104001452

Stacey A Ellingson, PT is a Physical Therapist in Bothell, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

12900 NE 180th St Ste 110
Bothell, WA 98011-5773
Phone: (425) 483-4270
Fax: (425) 483-4268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19119 N Creek Pkwy Ste 107, Bothell, WA 98011-8023 — (425) 486-8800

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT00010820 (WA)

Record details

NPI number1104001452
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 7, 2008
Last updated in NPPESApril 4, 2018

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