Organization Active NPI

Trailside Physical Therapy and Rehab

  • Physical Therapy Clinic/Center
  • Duvall, WA
National Provider Identifier
1245177682
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TRAILSIDE PHYSICAL THERAPY AND REHAB
Practice address
14701 Main St NE Ste A3
Duvall, WA 98019-8443
Phone
(602) 799-6848
NPI assigned
May 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Eric Bernard Marie, PT, DPTNPI 1679002521
Title
Physical Therapist
Phone
(602) 799-6848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

14701 Main St NE Ste A3
Duvall, WA 98019-8443

Mailing address

PO Box 565
Duvall, WA 98019-0565
Phone (602) 799-6848

National Provider Directory

National Provider Directory

Locations

14701 Main St NE
Ste A3
Duvall, WA 98019
Phone (602) 799-6848

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1245177682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 565",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980190565",
            "telephone_number": "602-799-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 MAIN ST NE STE A3",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980198443",
            "telephone_number": "602-799-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAILSIDE PHYSICAL THERAPY AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-03",
        "status": "A",
        "authorized_official_last_name": "MARIE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "602-799-6848",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duvall, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.