Individual provider Active NPI

Elorie Komorita

  • Physical Therapist
  • Mill Creek, WA
National Provider Identifier
1437784832
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
16310 Bothell Everett Hwy Ste C
Mill Creek, WA 98012-1284
Phone
(425) 582-5526
Fax
(425) 245-1019
NPI assigned
Mar 5, 2020
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1329288 TX
Physical Therapist 225100000X WA Primary

Addresses

Primary practice location

16310 Bothell Everett Hwy Ste C
Mill Creek, WA 98012-1284

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

10425 Huffmeister Road Suite 320
Houston, TX 77065
Phone (281) 955-2650

Other practice location 2

22485 Tomball Pkwy Ste 2100
Houston, TX 77070-1560
Phone (281) 955-2650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200326001806 TX Practitioner - Physical Therapist in Private Practice 7012346042 Reassigns benefits to 1 organization
I20230626001767 WA Practitioner - Physical Therapist in Private Practice 7012346042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilco Theranet, LLCGroup PAC ID 2365531878, 9 clinicians

Practice addresses (Care Compare)

127 Medical Park LN
Huntsville, TX 77340-4972
Phone (936) 294-0283

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients
Wilco Theranet, LLC Physical Therapist CurrentSince Jan 13, 2026 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist Current Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients
Physical Therapy Associates PastSince Jan 13, 2026 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

127 Medical Park Ln
Huntsville, TX 77340
Phone (936) 294-0283

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

16310 Bothell Hwy
Ste C
Mill Creek, WA 98012
Phone (425) 582-5526

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

Interoperability endpoints

  • Direct secure messaging: elorie.komorita.1@15749.direct.athenahealth.com

Organizations & group practices 7

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": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1437784832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16310 BOTHELL EVERETT HWY STE C",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121284",
            "telephone_number": "425-582-5526",
            "fax_number": "425-245-1019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10425 Huffmeister Road Suite 320",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77065",
            "country_code": "US",
            "telephone_number": "281-955-2650",
            "fax_number": "281-955-5875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22485 Tomball Pkwy Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770701560",
            "country_code": "US",
            "telephone_number": "281-955-2650",
            "fax_number": "281-955-5875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMORITA",
        "first_name": "ELORIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1329288",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.