Individual provider Active NPI

Reilly Elizabeth Retz, DPT

  • Physical Therapist
  • Puyallup, WA
National Provider Identifier
1386259968
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61069020 Issued in WA
Practice address
8011 112TH Street CT E
Puyallup, WA 98373-7814
Phone
(253) 848-0662
NPI assigned
Sep 10, 2020
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT61069020 WA Primary

Addresses

Primary practice location

8011 112TH Street CT E
Puyallup, WA 98373-7814

Mailing address

17307 SE 272ND St Ste 126
Covington, WA 98042-5306
Phone (425) 690-3521

Other practice location 1

17307 SE 272nd St Ste 126
Covington, WA 98042-5306
Phone (425) 690-3521

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200930002580 WA Practitioner - Physical Therapist in Private Practice 9335568989 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Rehabilitation Associates, PLLCGroup PAC ID 8325937642, 33 clinicians

Practice addresses (Care Compare)

407 E 2ND Ave
Suite 100
Spokane, WA 99202-1428
Phone (509) 455-6002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT61069020WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Therapy Group Physical Therapist CurrentSince Feb 8, 2021 Accepting new patients
Multicare Health System Physical Therapist CurrentSince Sep 16, 2020 Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 23, 2025 Accepting new patients
Multicare Health System CurrentSince Sep 16, 2020 Accepting new patients
Summit Rehabilitation Associates, PLLC Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Valley Medical Group-Renton CurrentSince Aug 1, 2022 Accepting new patients
Summit Rehab Valley Corporation Physical Therapist PastSince Oct 1, 2024 Accepting new patients

Locations

13555 SE 36th St
Ste 100
Bellevue, WA 98006

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

17307 SE 272nd St
Ste 126
Covington, WA 98042
Phone (253) 639-2266

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

24060 SE Kent Kangley Rd
#D100
Maple Valley, WA 98038
Phone (425) 358-7708

8011 112th Street Ct E
Puyallup, WA 98373
Phone (253) 848-0662

3600 Lind Ave SW
Ste 100
Renton, WA 98057

407 E 2nd Ave
Ste 100
Spokane, WA 99202
Phone (509) 455-6002

Organizations & group practices 8

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1386259968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17307 SE 272ND ST STE 126",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980425306",
            "telephone_number": "425-690-3521",
            "fax_number": "425-690-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 112TH STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983737814",
            "telephone_number": "253-848-0662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17307 SE 272nd St Ste 126",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "WA",
            "postal_code": "980425306",
            "country_code": "US",
            "telephone_number": "425-690-3521",
            "fax_number": "425-690-9521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RETZ",
        "first_name": "REILLY",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61069020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.