Elyse Rene Smylie, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA.P1.61399473 Issued in WA

Practice address

18323 98TH Ave NE Ste 1
Bothell, WA 98011-3358

Phone

(618) 779-1695

Fax

(425) 371-7071

NPI assigned

Mar 24, 2026

Last updated

Mar 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elyse Rene Lewan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1881532224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18323 98TH AVE NE STE 1",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113358",
            "telephone_number": "618-779-1695",
            "fax_number": "425-371-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18323 98TH AVE NE STE 1",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113358",
            "telephone_number": "618-779-1695",
            "fax_number": "425-371-7071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4122 Factoria Blvd SE Ste 401",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980065259",
            "country_code": "US",
            "telephone_number": "425-562-1920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMYLIE",
        "first_name": "ELYSE",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "PTA.P1.61399473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELYSE",
            "last_name": "LEWAN",
            "middle_name": "RENE",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheryl Anne Smith, PHYSICAL THERAPIST
• Heather Claire Smith
• Lindsey Smith, LMP
• Rebekah Dale Smith
• Jessica Diane Smithlin
• Snohomish Physical Therapy PLLC (IRG Physical Therapy of Canyon Park)
• Andrea Dawn Snyder, LMP
• Lacy Snyder
• Matt Snyder, DC
• Rebecca M Snyder

• Physical Therapy Assistant in Bothell, WA
• Providers in Bothell, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.