Individual provider Active NPI

Swardhu Raut

  • Physical Therapist
  • Bothell, WA
National Provider Identifier
1194577163
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61686129 Issued in WA
Practice address
19119 N Creek Pkwy Ste 107
Bothell, WA 98011-8023
Phone
(425) 486-8800
Fax
(425) 486-8848
NPI assigned
Apr 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT61686129 WA Primary
Physical Therapist 225100000X 050669-01 NY

Addresses

Primary practice location

19119 N Creek Pkwy Ste 107
Bothell, WA 98011-8023

Mailing address

12 E 46TH St RM 501
New York, NY 10017-2418
Phone (917) 837-1268

Other practice location 1

12 E 46th St Rm 501
New York, NY 10017-2418
Phone (917) 837-1268

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260129003228 WA Practitioner - Physical Therapist in Private Practice 4789162934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians

Practice addresses (Care Compare)

19119 N Creek Pkwy
Suite 107
Bothell, WA 98011-8023
Phone (425) 486-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050669-01NYMDPhysical Therapist
PT61686129WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Midtown East Physical Therapy PastSince Apr 9, 2024 Accepting new patients
Bienetre Medical PC Physical Therapist PastSince Apr 9, 2024 Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

19119 North Creek Pkwy
Ste 107
Bothell, WA 98011
Phone (425) 486-8800

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1194577163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E 46TH ST RM 501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172418",
            "telephone_number": "917-837-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19119 N CREEK PKWY STE 107",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980118023",
            "telephone_number": "425-486-8800",
            "fax_number": "425-486-8848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 E 46th St Rm 501",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100172418",
            "country_code": "US",
            "telephone_number": "917-837-1268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAUT",
        "first_name": "SWARDHU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61686129",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050669-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.