NPIMap

Individual provider Active NPI

Andrea Ennis, PT, DPT

  • Physical Therapist
  • Snoqualmie, WA
National Provider Identifier
1841926664
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61374948 Issued in WA
Practice address
9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone
(425) 831-2300
NPI assigned
Jul 25, 2022
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 64595 OR
Physical Therapist 225100000X PT61374948 WA Primary

Addresses

Primary practice location

9801 Frontier Ave SE
Snoqualmie, WA 98065-5200

Mailing address

3387 Pleasant St
Berrien Springs, MI 49103-9519

Other practice location 1

4132 Devonshire Ct NE
Salem, OR 97305-1982
Phone (269) 235-2075

Other names 1

  • Andrea Laskowski Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64595ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jun 23, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Jul 18, 2024 Accepting new patients
Multicare Health System CurrentSince Jun 23, 2023 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Jul 18, 2024 Accepting new patients
Public Hospital District No 4, King County Wa Physical Therapist Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

10141 224th St E
Graham, WA 98338
Phone (253) 240-0315

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

9801 Frontier Ave SE
Snoqualmie, WA 98065
Phone (425) 831-2300

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1841926664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3387 PLEASANT ST",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491039519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 FRONTIER AVE SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980655200",
            "telephone_number": "425-831-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4132 Devonshire Ct NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973051982",
            "country_code": "US",
            "telephone_number": "269-235-2075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENNIS",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64595",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61374948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "LASKOWSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Snoqualmie, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.