Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Summer Rae Koogler, PT, DPT

Individual provider Physical Therapist · NPI 1063125243

Summer Rae Koogler, PT, DPT is a Physical Therapist in Private Practice in Lacey, Washington. Qualified in 2022, 4 years ago. Practices with Northwest Center for Sports Medicine and Physical Therapy Inc, a 87-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri and Washington.

Years since qualifying
4
Licensed in
MO, WA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5730 Ruddell Rd SE Ste A
Lacey, WA 98503-6400
Phone: (360) 338-3901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5660 W Cortaro Farms Rd Ste 108, Tucson, AZ 85742-9800 — (520) 462-6167
  • 827 Ne Lakewood Blvd, Lees Summit, MO 64064-1366 — (816) 533-6931

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT61664599 (WA)
Physical Therapist Taxonomy 225100000X · Licence 2023032460 (MO)

Record details

NPI number1063125243
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJanuary 3, 2023
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northwest Center For Sports Medicine And Physical Therapy Inc — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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