Ronald Dean Enyeart, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00003047 Issued in WA

Practice address

2850 228TH Ave SE
Suite B
Sammamish, WA 98075-9301

Phone

(425) 391-4488

Fax

(425) 391-8287

NPI assigned

Nov 3, 2005

Last updated

Oct 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pine Lake Physical Therapy & Sports Rehab, P.S.

  • Orthopedic Physical Therapist
  • Sammamish, WA
  • NPI 1356471684
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1487645891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25923 SE 40TH CT",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980297767",
            "telephone_number": "425-391-4488",
            "fax_number": "425-391-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 228TH AVE SE",
            "address_2": "SUITE B",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980759301",
            "telephone_number": "425-391-4488",
            "fax_number": "425-391-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENYEART",
        "first_name": "RONALD",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dynacare Northwest, Inc
• Elevate Physical Therapy and Wellness
• Omnia Elsherbiny
• Sarah Michelle Emswiler Tanner, O.D.
• Laurie Marie Engelbeck, PH.D,, NCSP
• Essence Health and Research Foundation (Essence Health & Research (EH&R))
• Randa Raafat Riad Estawrow, PHARMACIST
• Joellen Estvold, MD
• Eyecare Partners, PLLC (Arbor Eyecare)
• Kais A Faddah, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.