Highline Physical Therapy Group
Organization Active NPI Physical Therapist · Bonney Lake, WA
NPI 1255147336 · NPPES record last updated Dec 4, 2024
Key facts
- NPI
- 1255147336
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- HIGHLINE PHYSICAL THERAPY GROUP
- Practice address
- 20910 State Route 410 E
Bonney Lake, WA 98391-6302 - Phone
- (253) 862-2575
- Fax
- (253) 862-2675
- NPI assigned
- Dec 4, 2024
- Organization subpart
- No
Authorized official
- Name
- Robert Pace
- Title
- Coo
- Phone
- (213) 804-1712
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 4
Practitioners 131
-
Collin Andrus, DPT
-
Sara Boehler, P.T., D.P.T.
-
Craig Bryan Faeth, PT, ATC
-
Kristi Elise Greenfield, OTD, OTR/L
-
Matt T Krings, MPT
-
Noemi Maya-Mendoza, DPT
-
Brent S Mueller, PT
-
Rebecca Ann Potter-Vanhoogstraat, PT, DPT
-
Sara Schendel, DPT
-
Arvanbir Singh, OT
-
Bethany Stevens, DPT
-
Jenna Yee, DPT
-
Brandon Brown, P.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250206003090 | WA | DME Supplier - Independently-Practicing Physical Therapist |
8820172984 | Practice locations: Bonney Lake, WA |
National Provider Directory
- Tax ID family
- Highline Physical Therapy Group
Locations
22659 Pacific Hwy S
Ste 201
Des Moines, WA 98198
Phone (206) 824-3668
1010 S 336th St
Ste 112
Federal Way, WA 98003
Phone (253) 661-0041
1615 S 325th St
Federal Way, WA 98003
Phone (253) 661-0041
4744 41st Ave SW
Ste 105
Seattle, WA 98116
Phone (206) 933-1030
4700 42nd Ave SW
Ste 510
Seattle, WA 98116
Phone (206) 408-6523
1215 N McDonald Rd
Ste 102
Spokane Valley, WA 99216
Phone (509) 319-2029
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
20910 State Route 410 E
Bonney Lake, WA 98391-6302
Mailing address
2600 Dallas Pkwy Ste 290
Frisco, TX 75034-7493
Phone (945) 260-0010
Other providers in Bonney Lake, WA
- Lindsey Henderson
- Jennie G Hendrie
- Henschell Chiropractic, P.S.
- Martin Reginald Henschell
- Morgan Highfill
- Cynthia Ann Hill-Garner
- Hilltop Medical Clinic PS
- Vincent B. Ho
- Megan Hofstede
- Donovan Richard Hofstrand
All providers in Bonney Lake, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.