Active NPI
Lorraine Mazelis Flaherty, P.T.
- Physical Therapist
- Everett, WA
National Provider Identifier
1689785446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00009724
- Practice address
- 4027 Hoyt Ave
Everett, WA 98201-4920 - Phone
- (425) 304-8476
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00009724 | WA | Primary |
Addresses
Primary practice location
4027 Hoyt Ave
Everett, WA 98201-4920
Mailing address
7600 Evergreen Way
Everett, WA 98203-6421
Phone (206) 860-5414
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2058904 | Medicaid | WA | |
| 60559U | Other | WA | REGENCE BLUE SHIELD PIN |
| PT00009724 | Other | WA | PT LICENSE |
Other names 1
- Ms. Lorraine Rachel Mazelis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4027 Hoyt Ave
Everett, WA 98201-4920
Phone (425) 259-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00009724 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Optum Care Washington PLLC | Past | Accepting new patients | |
| Aurora Village Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
Locations
4027 Hoyt Ave
Everett, WA 98201
Phone (425) 304-8476
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1831186766
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
-
- Physical Therapist
- Shoreline, WA
- NPI 1326111477
-
- Ambulatory Surgical Clinic/Center
- Everett, WA
- NPI 1154318103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1689785446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 EVERGREEN WAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982036421",
"telephone_number": "206-860-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4027 HOYT AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014920",
"telephone_number": "425-304-8476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAHERTY",
"first_name": "LORRAINE",
"middle_name": "MAZELIS",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00009724",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2058904",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD PIN",
"identifier": "60559U",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT00009724",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORRAINE",
"last_name": "MAZELIS",
"middle_name": "RACHEL",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.