PNW Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PNW PHYSICAL THERAPY, LLC

Practice address

10821 19TH Ave SE
Everett, WA 98208-5103

Phone

(509) 458-7686

Fax

(509) 808-2164

NPI assigned

Jan 7, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cyndee H Reeves

Title

Credentialing Manager

Phone

(509) 458-7686

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Jo Bobin, DPT

  • Orthopedic Physical Therapist
  • Everett, WA
  • NPI 1649814419
  Medicare reassignment Care Compare group NPD
• Nicolle Adrea Gerchak, DPT

  • Physical Therapist
  • Everett, WA
  • NPI 1578257879
  Medicare reassignment Care Compare group NPD
• Kylie E Kaplan, DPT

  • Physical Therapist
  • Everett, WA
  • NPI 1447087143
  Medicare reassignment Care Compare group NPD
• James M Lee, DPT

  • Physical Therapist
  • Everett, WA
  • NPI 1982011128
  Medicare reassignment Care Compare group NPD
• Andrew T McCoy, DPT

  • Physical Therapist
  • Everett, WA
  • NPI 1225874712
  Medicare reassignment Care Compare group NPD
• Benjamin A Parker

  • Physical Therapist
  • Wilsonville, OR
  • NPI 1518632900
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1073086641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10821 19TH AVE SE STE 102",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982085103",
            "telephone_number": "425-225-5865",
            "fax_number": "425-948-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10821 19TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982085103",
            "telephone_number": "509-458-7686",
            "fax_number": "509-808-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNW PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "CYNDEE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "509-458-7686"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY OF EVERETT",
            "identifier": "58715",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa J Pliskowski
• Ann Lee Plotnick, BC-HIS
• Robert Plute, MPH, CCIS-II
• PMG NW Wa Cranial Spine & Joint
• PNC Podiatry of Washington PLLC
• Martin John Pointon, MD
• Michele Poirier-McNeill, ARNP
• Steven Poirier-McNeill, MD
• Makala Polk
• Curtis Polteno, B.A., CDPT, R.C.

• Physical Therapist in Everett, WA
• Providers in Everett, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.