Individual provider Active NPI

Russell Martin Kowalinski, PT, DPT, SCS

  • Physical Therapist
  • Renton, WA
National Provider Identifier
1083861140
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60028438 Issued in WA
Practice address
451 Duvall Ave NE
Suite 200
Renton, WA 98059-4675
Phone
(425) 235-9505
Fax
(425) 226-7334
NPI assigned
Aug 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60028438 WA Primary

Addresses

Primary practice location

451 Duvall Ave NE
Suite 200
Renton, WA 98059-4675

Mailing address

451 Duvall Ave NE
Suite 200
Renton, WA 98059-4675
Phone (425) 235-9505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081008000364 WA Practitioner - Physical Therapist in Private Practice 5991873697 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Luna Care Physical Therapy LLCGroup PAC ID 7416283817, 161 clinicians
Peak Sports and Spine Physical Therapy-Renton PSGroup PAC ID 6305737479, 4 clinicians
Snoqualmie Ridge Physical Therapy, P.S.Group PAC ID 4880689074, 6 clinicians

Practice addresses (Care Compare)

Bellevue, WA 98006
Phone (866) 525-3175

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-2560

22443 SE 240TH St
Suite 201
Maple Valley, WA 98038-5879
Phone (425) 584-7704

451 Duvall Ave NE
Renton, WA 98059-4675
Phone (425) 235-9505

7726 Ctr Blvd SE
Suite 220
Snoqualmie, WA 98065-8753
Phone (425) 396-7778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 4, 2026 Accepting new patients
Peak Sports & Spine Physical Therapy - Maple Valley PS CurrentSince Aug 27, 2021 Accepting new patients
Snoqualmie Ridge Physical Therapy, P.S. Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Feb 4, 2026 Accepting new patients
Peak Sports & Spine Physical Therapy-Renton, P.S. Physical Therapist CurrentSince Aug 7, 2008 Accepting new patients

Locations

13555 SE 36th St
Ste 100
Bellevue, WA 98006

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

22443 SE 240th St
Ste 201
Maple Valley, WA 98038
Phone (425) 432-1671

451 Duvall Ave NE
Ste 200
Renton, WA 98059
Phone (425) 235-9505

7726 Center Blvd SE
Ste 220
Snoqualmie, WA 98065
Phone (425) 313-3055

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1083861140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 DUVALL AVE NE",
            "address_2": "SUITE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594675",
            "telephone_number": "425-235-9505",
            "fax_number": "425-226-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 DUVALL AVE NE",
            "address_2": "SUITE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594675",
            "telephone_number": "425-235-9505",
            "fax_number": "425-226-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALINSKI",
        "first_name": "RUSSELL",
        "middle_name": "MARTIN",
        "credential": "PT, DPT, SCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60028438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.