Pacific Sports Rehab, PLLC

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

Legal business name

PACIFIC SPORTS REHAB, PLLC

Practice address

6912 220TH St SW Ste 205
Mountlake Terrace, WA 98043-2169

Phone

(425) 712-1987

NPI assigned

Sep 19, 2022

Last updated

Feb 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Natalie Sierra Allen, OTDNPI 1598281933

Title

Owner

Phone

(425) 712-1987

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Natalie Sierra Allen, OTD

  • Occupational Therapist
  • Mountlake Terrace, WA
  • NPI 1598281933

  Single Specialty

  Medicare reassignment NPD Authorized official
• Stephen Coombs, PT, DPT

  • Sports Physical Therapist
  • Seattle, WA
  • NPI 1326634981
  Medicare reassignment NPD
• Megan Casey Douglas, DPT

  • Physical Therapist
  • Mount Vernon, WA
  • NPI 1548348147
  Medicare reassignment NPD
• Carol Lang

  • Hand Occupational Therapist
  • Mountlake Terrace, WA
  • NPI 1881477784
  Medicare reassignment NPD
• Bryan Simpson, DPT

  • Physical Therapist
  • Mountlake Terrace, WA
  • NPI 1700266673
  Medicare reassignment NPD
• Lydia Grace Stout, OTR/L, MSOT

  • Occupational Therapist
  • Mountlake Terrace, WA
  • NPI 1649099672
  Medicare reassignment NPD
• Jamie Wang, DPT

  • Physical Therapist
  • Mountlake Terrace, WA
  • NPI 1629800388
  Medicare reassignment NPD

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1427770122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 220TH ST SW STE 205",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432169",
            "telephone_number": "425-712-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 220TH ST SW STE 205",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432169",
            "telephone_number": "425-712-1987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Westlake Ave N Ste 413",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981093012",
            "country_code": "US",
            "telephone_number": "425-712-1978",
            "fax_number": "425-712-1995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC SPORTS REHAB, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "SIERRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-712-1987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oxygen Services Northwest
• Tal Ozery
• Pacific Imaging PLLC (Alliance Healthcare Radiology of Mountlake Terrace)
• Pacific Northwest Therapy Group, PLLC
• Pacific Psychiatric Consulting PLLC
• Pacific Sports Rehab, PLLC
• Pain Free Move Well (Pain Free Move Well Clinic)
• Alexandra Jamie Pales, ARNP
• Celia Palmer, LMHC
• Lynnette Elivra Palmer

• Hand Occupational Therapist in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Hand Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.