| Redmond Ridge Physical Therapy Pllc | |
|
22500 Ne Marketplace Dr, Suite 204, Redmond, WA 98053-2033 | |
| (425) 836-1034 | |
| (425) 836-1037 |
| Full Name | Redmond Ridge Physical Therapy Pllc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 22500 Ne Marketplace Dr, Redmond, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720259450 | NPI | - | NPPES |
| 7141922 | Other | WA | DSHS |
| 9249165 | Other | WA | AETNA |
| DH1213 | Other | WA | RAILROAD MEDICARE |
| 0232273 | Other | WA | LABOR & INDUSTRIES |
| 613292200 | Other | WA | OWCP |
| 8946931 | Other | WA | L&I CRIME VICTIMS |
| G8872140 | Other | WA | MEDICARE |
| Provider Name | Joseph G Banach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972565042 PECOS PAC ID: 0749271179 Enrollment ID: I20040524000295 |
| Provider Name | Lisa M Buchart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740263136 PECOS PAC ID: 9133187206 Enrollment ID: I20060317000407 |
| Provider Name | Shelly A Dibiase |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649409830 PECOS PAC ID: 3375699390 Enrollment ID: I20090916000512 |
| Provider Name | Stephen R Pipe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205180320 PECOS PAC ID: 2668624073 Enrollment ID: I20121211000537 |
| Provider Name | Brock J Giannaris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629312020 PECOS PAC ID: 3375796642 Enrollment ID: I20130117000225 |
| Provider Name | Meridith R Drenski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639503592 PECOS PAC ID: 9032344304 Enrollment ID: I20131023001205 |
| Provider Name | Meghan Biggs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558778233 PECOS PAC ID: 0446470694 Enrollment ID: I20141009002705 |
| Provider Name | David S Dougherty |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811065857 PECOS PAC ID: 3971816661 Enrollment ID: I20150723009755 |
| Provider Name | Mary L Friedman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982079208 PECOS PAC ID: 8123320959 Enrollment ID: I20160111000972 |
| Provider Name | Robert J Salasky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710430012 PECOS PAC ID: 8022306109 Enrollment ID: I20161005000189 |
| Provider Name | Trevor L Souik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336652932 PECOS PAC ID: 1052679792 Enrollment ID: I20171229000972 |
| Provider Name | Samuel S Olmstead |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558874883 PECOS PAC ID: 9133487770 Enrollment ID: I20180103001070 |
| Provider Name | Eric Bernard Marie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679002521 PECOS PAC ID: 9537438437 Enrollment ID: I20180509000779 |
| Provider Name | Michelle C Wendt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013486737 PECOS PAC ID: 2365789690 Enrollment ID: I20190124002794 |
| Provider Name | Abigail Merrill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982207171 PECOS PAC ID: 2062820756 Enrollment ID: I20210419000895 |
| Provider Name | Michaela Crown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225602295 PECOS PAC ID: 4284036294 Enrollment ID: I20210714000666 |
| Provider Name | Haley Sizelove |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104590793 PECOS PAC ID: 2961800685 Enrollment ID: I20211011003044 |
| Provider Name | Paige Elizabeth Pryson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780394692 PECOS PAC ID: 2163895350 Enrollment ID: I20230309001547 |
| Provider Name | Aneri Joshi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336600030 PECOS PAC ID: 7214386630 Enrollment ID: I20231211003156 |
| Provider Name | Rachel K Stern |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609621754 PECOS PAC ID: 3173066537 Enrollment ID: I20240613004404 |
| Provider Name | Kendall Marie Sanford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447099544 PECOS PAC ID: 7012451875 Enrollment ID: I20240703001859 |
| Mailing Address | Practice Location Address |
|---|---|
| Redmond Ridge Physical Therapy Pllc 22500 Ne Marketplace Dr Ste 204, Redmond, WA 98053-2033 Ph: (425) 836-1034 | Redmond Ridge Physical Therapy Pllc 22500 Ne Marketplace Dr, Suite 204, Redmond, WA 98053-2033 Ph: (425) 836-1034 |