Pine Lake Physical Therapy & Sports Rehab, P.S. in Sammamish - Orthopedic
Pine Lake Physical Therapy & Sports Rehab, P.S. - NPI 1356471684
Pine Lake Physical Therapy & Sports Rehab, P.S. is a Orthopedic in Sammamish, Washington. Pine Lake Physical Therapy & Sports Rehab, P.S. practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Pine Lake Physical Therapy & Sports Rehab, P.S. is 1356471684. The last update date is 2009-03-19.
Pine Lake Physical Therapy & Sports Rehab, P.S.'s current location address is 2850 228th Ave Se, Sammamish, Washington. You can contact this provider via phone number 4253914488 and fax number 4253918287. The mailing address for Pine Lake Physical Therapy & Sports Rehab, P.S. is 2850 228th Ave Se, Sammamish, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pine Lake Physical Therapy & Sports Rehab, P.S. |
|---|---|
| Address | 2850 228th Ave Se, Sammamish, Washington |
| Phone Number | 4253914488 |
| Fax Number | 4253918287 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Enyeart Dean Ronald |
| Credentials | P.T. |
| Telephone Number | 4253914488 |
NPI Number Detail
| NPI Number | 1356471684 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2009-03-19 |
Provider Mailing Address Detail
| Address | 2850 228th Ave Se |
|---|---|
| City | Sammamish |
| State | Washington (WA) |
| Post Code | 980759301 |
| Phone Number | 4253914488 |
| Fax Number | 4253918287 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | PT00003047 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Post Comment/ Review Below
What is the unique identifier code issued to Pine Lake Physical Therapy & Sports Rehab, P.S. by the Centers for Medicare & Medicaid Services (CMS)?
The Pine Lake Physical Therapy & Sports Rehab, P.S. has been assigned the NPI (National Provider Identifier) 1356471684. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Pine Lake Physical Therapy & Sports Rehab, P.S.?
The Pine Lake Physical Therapy & Sports Rehab, P.S. is physically situated at 2850 228Th Ave Se, in the city of Sammamish, state of WA, with the postal code 980759301.
What is Pine Lake Physical Therapy & Sports Rehab, P.S.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pine Lake Physical Therapy & Sports Rehab, P.S. is Orthopedic, and the taxonomy classification code that categorizes this area of expertise is 2251X0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1356471684 to Pine Lake Physical Therapy & Sports Rehab, P.S.?
The Centers for Medicare & Medicaid Services originally issued the 1356471684 to Pine Lake Physical Therapy & Sports Rehab, P.S. on 2007-03-06.
When was the Pine Lake Physical Therapy & Sports Rehab, P.S.'s information last updated?
The Pine Lake Physical Therapy & Sports Rehab, P.S.'s information was last updated on 2009-03-19.
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