Individual provider Active NPI

Tracey Macneill, MPT

  • Physical Therapist
  • Bothell, WA
National Provider Identifier
1982718326
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00009136 Issued in WA
Practice address
12900 NE 180TH St Ste 110
Bothell, WA 98011-5773
Phone
(425) 483-4270
Fax
(425) 483-4268
NPI assigned
Aug 19, 2006
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00009136 WA Primary

Addresses

Primary practice location

12900 NE 180TH St Ste 110
Bothell, WA 98011-5773

Mailing address

12900 NE 180TH St Ste 110
Bothell, WA 98011-5773
Phone (425) 483-4270

Other practice location 1

13434 NE 16th St
suite 210
Bellevue, WA 98005-2335
Phone (425) 643-9778 ext. 215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061221000556 WA Practitioner - Physical Therapist in Private Practice 9537169560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flex Physical TherapyGroup PAC ID 9537151600, 9 clinicians

Practice addresses (Care Compare)

12900 NE 180TH St
Suite 110
Bothell, WA 98011-5773
Phone (425) 483-4270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00009136WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 22, 2020 Accepting new patients
Flex Physical Therapy Physical Therapist CurrentSince Feb 28, 2022 Accepting new patients
Sports Reaction Center Inc Past Accepting new patients
Rehab Expert & Consulting LLC Physical Therapist Past Accepting new patients
Physiotherapy Associates, Inc PastSince Feb 28, 2022 Accepting new patients

Locations

13555 SE 36th St
Ste 100
Bellevue, WA 98006

12900 NE 180th St
Ste 110
Bothell, WA 98011
Phone (425) 483-4270

Organizations & group practices 5

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1982718326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 NE 180TH ST STE 110",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115773",
            "telephone_number": "425-483-4270",
            "fax_number": "425-483-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 NE 180TH ST STE 110",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115773",
            "telephone_number": "425-483-4270",
            "fax_number": "425-483-4268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13434 NE 16th St",
            "address_2": "suite 210",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980052335",
            "country_code": "US",
            "telephone_number": "425-643-9778 x215",
            "fax_number": "425-643-6448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACNEILL",
        "first_name": "TRACEY",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.