Individual provider Active NPI

Courtney Bennett, D.P.T.

  • Physical Therapist
  • Lake Stevens, WA
National Provider Identifier
1508159492
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60297404 Issued in WA
Practice address
9514 4TH St NE
Lake Stevens, WA 98258-1937
Phone
(206) 641-1335
NPI assigned
May 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 38537 CA
Physical Therapist 225100000X 004661 IA
Physical Therapist 225100000X PT60297404 WA Primary
Physical Therapist 225100000X 12372-24 WI
Physical Therapist 225100000X 1201110 TX

Addresses

Primary practice location

9514 4TH St NE
Lake Stevens, WA 98258-1937

Mailing address

8558 Nesbit Ave N Unit 202
Seattle, WA 98103-4160
Phone (206) 641-1335

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231002001011 WA Practitioner - Physical Therapist in Private Practice 2860846474 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38537CAMDPharmacist
004661IAMDPhysical Therapist
1201110TXMDPhysical Therapist
12372-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No 2 Current Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Summit Rehabilitation PLLC CurrentSince Sep 4, 2023 Accepting new patients
Optum Care Washington PLLC CurrentSince Jan 13, 2025 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Optum Care Washington PLLC CurrentSince Jan 13, 2025 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Sep 4, 2023 Accepting new patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Mar 21, 2025 Accepting new patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Sep 4, 2023 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist Current Accepting new patients
Swedish Health Services Current Accepting new patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Sep 4, 2023 Accepting new patients

Locations

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

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

2431 Broadway
Everett, WA 98201
Phone (425) 252-4600

5029 Evergreen Way
Everett, WA 98203
Phone (425) 252-1642

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

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327

3719 88th St NE
Ste A
Marysville, WA 98270
Phone (360) 659-9621

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

4410 106th St SW
Mukilteo, WA 98275
Phone (206) 388-6000

17223 Avondale Way NE
Redmond, WA 98052
Phone (425) 403-0232

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

800 5th Ave
Ste P100
Seattle, WA 98104
Phone (206) 320-2700

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

201 W North River Dr
Ste 510
Spokane, WA 99201
Phone (509) 323-0066

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1508159492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8558 NESBIT AVE N UNIT 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034160",
            "telephone_number": "206-641-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9514 4TH ST NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982581937",
            "telephone_number": "206-641-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38537",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004661",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60297404",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12372-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1201110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.