Active NPI
Rafael A. Lara, P.T.
- Physical Therapist
- Bellingham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00007560
- Practice address
- 2075 Barkley Blvd Ste 200
Bellingham, WA 98226-6696 - Phone
- (360) 733-4008
- Fax
- (360) 733-4064
- NPI assigned
- Mar 17, 2010
- Sex
- Male
- 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 | PT00007560 | WA | Primary |
Addresses
Primary practice location
2075 Barkley Blvd Ste 200
Bellingham, WA 98226-6696
Mailing address
805 Madison St Ste 901
Seattle, WA 98104-1172
Phone (360) 733-4008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1041779 | Medicaid | WA |
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, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2075 Barkley Blvd
Suite 200
Bellingham, WA 98226-6696
Phone (360) 733-4008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00007560 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons, Inc., P.S. | Physical Therapist | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Javaman PS | Physical Therapist | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Physiotherapy Assoicates, Inc. | Past | Accepting new patients | |
| Proliance Surgeons, Inc., P.S. | Past | Accepting new patients | |
| Lynden Family Physical Therapy PS Inc. | Physical Therapist | Past | Accepting new patients |
Locations
2075 Barkley Blvd
Ste 200
Bellingham, WA 98226
Phone (360) 733-4008
1401 S Laventure Rd
Mount Vernon, WA 98274
Phone (360) 424-2400
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Interoperability endpoints
- rafael.lara.p13@direct.proliance.nextgenshare.com
Organizations & group practices 8
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.
-
dba Fyzical Therapy & Balance Centers
- Physical Therapy Clinic/Center
- Bellingham, WA
- NPI 1841255502
Physical Therapist
-
dba Proliance Surgeons Orthopedic Specialists of Seattle
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Physical Therapist
- Stanwood, WA
- NPI 1083721872
-
dba Proliance Orthopedic Associates
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
dba Proliance Surgeons Skagit Northwest Orthopedics
- Multi-Specialty Clinic/Center
- Mount Vernon, WA
- NPI 1023051489
Physical Therapist
-
dba Lynden Family Physical Therapy
- Physical Therapist
- Lynden, WA
- NPI 1871578682
-
dba Proliance South Seattle Otolaryngology
- Otolaryngology Physician
- Burien, WA
- NPI 1114108784
-
- Physical Therapy Clinic/Center
- Norfolk, VA
- NPI 1629713102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760832000000",
"number": "1730403973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 MADISON ST STE 901",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041172",
"telephone_number": "360-733-4008",
"fax_number": "360-733-4064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 BARKLEY BLVD STE 200",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982266696",
"telephone_number": "360-733-4008",
"fax_number": "360-733-4064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARA",
"first_name": "RAFAEL",
"middle_name": "A.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-17",
"last_updated": "2025-10-19",
"certification_date": "2025-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00007560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1041779",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.