Individual provider Active NPI

Mariel Yanid Santos, PT

  • Physical Therapist
  • Lynnwood, WA
National Provider Identifier
1508752841
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
19101 36TH Ave W Ste 107
Lynnwood, WA 98036-5759
Phone
(425) 771-9300
NPI assigned
Jun 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

19101 36TH Ave W Ste 107
Lynnwood, WA 98036-5759

Mailing address

6222 Skyline Dr Unit 36
Houston, TX 77057-7035
Phone (210) 763-0335

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260224004253 TX Practitioner - Physical Therapist in Private Practice 8426539768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bercutt Physical Therapy PLLCGroup PAC ID 6002131505, 8 clinicians

Practice addresses (Care Compare)

5252 Westchester St
Suite 255
Houston, TX 77005-4141
Phone (713) 360-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bercutt Physical Therapy, PLLC Physical Therapist CurrentSince Dec 8, 2025 Accepting new patients
Webster Surgical Specialty Hospital, LLC PastSince Dec 8, 2025 Accepting new patients
O'Leary, Walsh, and George Inc Physical Therapist PastSince Jun 15, 2025 Accepting new patients

Locations

5252 Westchester St
Bldg 255
Houston, TX 77005
Phone (713) 360-0300

Organizations & group practices 3

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": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1508752841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 SKYLINE DR UNIT 36",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577035",
            "telephone_number": "210-763-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19101 36TH AVE W STE 107",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365759",
            "telephone_number": "425-771-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "MARIEL",
        "middle_name": "YANID",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.