Active NPI
Mwines Physical Therapy PLLC
- Physical Therapy Clinic/Center
- Duvall, WA
National Provider Identifier
1396578308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- MWINES PHYSICAL THERAPY PLLC
- Practice address
- 26530 NE Stephens St
Duvall, WA 98019-5021 - Phone
- (360) 481-6069
- NPI assigned
- Aug 23, 2024
- 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
- Dr. Matthew Wines, DPT, CSCS
- Title
- Physical Therapist
- Phone
- (360) 481-6069
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
26530 NE Stephens St
Duvall, WA 98019-5021
Mailing address
PO Box 1154
Duvall, WA 98019-1154
Phone (360) 481-6069
National Provider Directory
National Provider DirectoryPractitioners & 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
- Everett, WA
- NPI 1770230047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724371200000",
"number": "1396578308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1154",
"city": "DUVALL",
"state": "WA",
"postal_code": "980191154",
"telephone_number": "360-481-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26530 NE STEPHENS ST",
"city": "DUVALL",
"state": "WA",
"postal_code": "980195021",
"telephone_number": "360-481-6069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MWINES PHYSICAL THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-23",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A",
"authorized_official_last_name": "WINES",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "360-481-6069",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT, CSCS"
},
"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 Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.