Yannis Emmanuel Mavrommatakis, DPT, OCS, SCS, PHD

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61160514 Issued in WA

Practice address

2749 152ND Ave NE
Redmond, WA 98052-5555

Phone

(425) 395-4524

Fax

(844) 574-1771

NPI assigned

Aug 20, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Everett Physical Therapy and Sport Performance Center PLLCGroup PAC ID 3779475181, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Everett Physical Therapy and Sport Performance Center PLLC

  • Physical Therapist
  • Everett, WA
  • NPI 1699713370
  Medicare reassignment Care Compare group NPD
• Timberline Rehabilitation Service, PS

  • Physical Therapist
  • Vancouver, WA
  • NPI 1427237619
  Medicare reassignment NPD
• Athlema Physical Therapy PLLC

  • Physical Therapist
  • Redmond, WA
  • NPI 1033046370
  NPD Authorized official
• Everett Physical Therapy and Sport Performance Center PLLC

  • Durable Medical Equipment & Medical Supplies
  • Bothell, WA
  • NPI 1447047477
  NPD
• Redmond Ridge Physical Therapy PLLC

  • Physical Therapist
  • Redmond, WA
  • NPI 1720259450
  NPD (past)

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

{
    "created_epoch": "1503187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1356867428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 281ST AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980533119",
            "telephone_number": "917-332-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2749 152ND AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525555",
            "telephone_number": "425-395-4524",
            "fax_number": "844-574-1771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Hewitt Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982013600",
            "country_code": "US",
            "telephone_number": "425-252-3908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13425 SE 30th St",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980054450",
            "country_code": "US",
            "telephone_number": "425-800-4488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10600 NE 68th St",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980337044",
            "country_code": "US",
            "telephone_number": "425-823-1389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 110th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980045828",
            "country_code": "US",
            "telephone_number": "425-628-2072",
            "fax_number": "425-628-2072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1109 Frontier Cir E Ste B",
            "address_purpose": "LOCATION",
            "city": "Lake Stevens",
            "state": "WA",
            "postal_code": "982583442",
            "country_code": "US",
            "telephone_number": "425-609-8075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAVROMMATAKIS",
        "first_name": "YANNIS",
        "middle_name": "EMMANUEL",
        "credential": "DPT, OCS, SCS, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-20",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041916",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61160514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Behnam Mati, RPH
• Pia Bonura Matsuno, MD
• Rhonda Jolene Matt, RAC
• Rama Matta, RPH
• Ronald Jason Matthews, MSPT
• Mary C. Maxwell-Young, M.D.
• Vivian Heather May
• Maysoft LLC
• Kathleen Anne Mazure, DMD
• Fiona McConnell, MD

• Physical Therapist in Redmond, WA
• Providers in Redmond, WA by specialty
• Physical Therapist in Washington

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

Verify at the official NPI Registry.