Active NPI
Eddy Leonard Robertson, PT
- Physical Therapist
- Pullman, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00007122
- Practice address
- 1620 SE Summit CT
Pullman, WA 99163-5519 - Phone
- (509) 332-5106
- Fax
- (509) 334-5723
- NPI assigned
- Apr 25, 2006
- 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 | PT00007122 | WA | Primary |
Addresses
Primary practice location
1620 SE Summit CT
Pullman, WA 99163-5519
Mailing address
803 Line Street
Box 28
Colton, WA 99113
Phone (509) 229-3979
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
- University of Washington School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
405 NE Stadium Way
Pullman, WA 99163-3825
Phone (509) 338-0650
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District #1-a of Whitman County | Physical Therapist | Current | Accepting new patients |
| Public Hospital District #1-a of Whitman County | Current | Accepting new patients | |
| Public Hospital District #1-a of Whitman County | Past | Accepting new patients | |
| Public Hospital District # 1-a | Past | Accepting new patients |
Locations
840 SE Bishop Blvd
Ste 103
Pullman, WA 99163
Phone (509) 336-7300
1620 SE Summit Ct
Pullman, WA 99163
Phone (509) 332-5106
825 SE Bishop Blvd
Ste 200
Pullman, WA 99163
Phone (509) 332-2517
405 NE Stadium Way
Pullman, WA 99163
Phone (509) 338-0650
835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541
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.
-
- Critical Access Hospital
- Pullman, WA
- NPI 1366446767
-
- Family Medicine Physician
- Pullman, WA
- NPI 1881475051
Physical Therapist
-
- Clinical Medical Laboratory
- Pullman, WA
- NPI 1962667170
-
- Medicare Defined Swing Bed Hospital Unit
- Pullman, WA
- NPI 1750401006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752796800000",
"number": "1891751087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 LINE STREET",
"address_2": "BOX 28",
"city": "COLTON",
"state": "WA",
"postal_code": "99113",
"telephone_number": "509-229-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 SE SUMMIT CT",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991635519",
"telephone_number": "509-332-5106",
"fax_number": "509-334-5723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "EDDY",
"middle_name": "LEONARD",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2025-07-18",
"certification_date": "2025-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00007122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pullman, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.