Niharika Agrawal, DPT

Individual provider Active NPI Physical Therapy Assistant · Bellevue, WA

NPI 1811535792 · NPPES record last updated Dec 11, 2019

Key facts

NPI
1811535792
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PT60995043 (WA)
Practice address
1188 106TH Ave NE Ste 100
Bellevue, WA 98004-8612
Phone
(425) 455-2630
NPI assigned
Dec 11, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT60995043WAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PT60995043 WA Yes

Addresses

Primary practice location

1188 106TH Ave NE Ste 100
Bellevue, WA 98004-8612

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other providers in Bellevue, WA

All providers in Bellevue, WA · Physical Therapy Assistant in Washington

Sources for this page

Verify at the official NPI Registry.