Active NPI
Mitchell Guy Blakney, P.T.
- Physical Therapist
- Gig Harbor, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00002125
- Practice address
- 4700 Point Fosdick Dr NW
Suite 213
Gig Harbor, WA 98335-1706 - Phone
- (253) 851-5718
- Fax
- (253) 853-6922
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00002125 | WA | Primary |
Addresses
Primary practice location
4700 Point Fosdick Dr NW
Suite 213
Gig Harbor, WA 98335-1706
Mailing address
3716 44TH Street CT NW
Gig Harbor, WA 98335-8277
Phone (253) 858-5465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8336992 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3716 44TH St CT
Gig Harbor, WA 98335-8277
5202 Olympic Dr
Suite 100
Gig Harbor, WA 98335-1727
Phone (253) 318-6665
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00002125 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Mitchell Blakney PT, PLLC | Current | Accepting new patients | |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Harbor Speech Pathology, PS | Past | Accepting new patients |
Locations
10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166
5202 Olympic Dr
Ste 100
Gig Harbor, WA 98335
Phone (253) 318-6665
403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835
4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046
111 Market St NE
Ste 108
Olympia, WA 98501
Phone (360) 754-7085
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Mill Creek, WA
- NPI 1154369833
Physical Therapist
-
- Orthopedic Physical Therapist
- Gig Harbor, WA
- NPI 1235729187
-
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Physical Therapist
-
- Speech-Language Pathologist
- Gig Harbor, WA
- NPI 1780917062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104852227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3716 44TH STREET CT NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983358277",
"telephone_number": "253-858-5465",
"fax_number": "253-853-6922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 POINT FOSDICK DR NW",
"address_2": "SUITE 213",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351706",
"telephone_number": "253-851-5718",
"fax_number": "253-853-6922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKNEY",
"first_name": "MITCHELL",
"middle_name": "GUY",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00002125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8336992",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.