Active NPI
Trailside Physical Therapy and Rehab
- Physical Therapy Clinic/Center
- Duvall, WA
National Provider Identifier
1245177682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Bernard Marie, PT, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Physical Therapist
- Tucson, AZ
- NPI 1679002521
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.