| Everett Physical Therapy And Sport Performance Center Pllc | |
|
2000 Hewitt Ave, #115, Everett, WA 98201 | |
| (425) 252-3908 | |
| (425) 252-7940 |
| Full Name | Everett Physical Therapy And Sport Performance Center Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2000 Hewitt Ave, Everett, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699713370 | NPI | - | NPPES |
| 4702EV | Other | WA | REGENCE BLUESHIELD GRP # |
| 8931865 | Other | WA | L&I CRIME VICTIMS |
| 9054974 | Medicaid | WA | |
| 2029657-00 | Other | WA | OWCP |
| 7121858 | Medicaid | WA | |
| 0179003 | Other | WA | DEPT. OF LABOR & INDUSTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Mark W Boede |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447213012 PECOS PAC ID: 4082631742 Enrollment ID: I20051101000637 |
| Provider Name | Lisa M Adams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831295591 PECOS PAC ID: 2668470246 Enrollment ID: I20061114000426 |
| Provider Name | Kendra J Frey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689876740 PECOS PAC ID: 5496848020 Enrollment ID: I20070912000428 |
| Provider Name | Grace B Ellison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902060197 PECOS PAC ID: 8123195336 Enrollment ID: I20080930000086 |
| 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 | Benjamin M Boyle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861552747 PECOS PAC ID: 1557407608 Enrollment ID: I20091005000256 |
| Provider Name | Molly Mckay Clevenger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184934564 PECOS PAC ID: 4183810773 Enrollment ID: I20101122000651 |
| Provider Name | Teresa M Majesky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861782682 PECOS PAC ID: 9133306889 Enrollment ID: I20110606000287 |
| 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 | Sujaya Deodhar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720339088 PECOS PAC ID: 0749433753 Enrollment ID: I20121226000178 |
| Provider Name | Andrea K Wood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477784130 PECOS PAC ID: 7517110331 Enrollment ID: I20130103000338 |
| 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 | Shawn M Brenneman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801183785 PECOS PAC ID: 2466621453 Enrollment ID: I20140205001586 |
| Provider Name | Nicole M Riddle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215341789 PECOS PAC ID: 4183848765 Enrollment ID: I20140623001037 |
| Provider Name | Meghan A Biggs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558778233 PECOS PAC ID: 0446470694 Enrollment ID: I20141009002705 |
| Provider Name | Kevin M Norris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316348030 PECOS PAC ID: 4981926805 Enrollment ID: I20141204000807 |
| Provider Name | Adam Reece |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043625874 PECOS PAC ID: 1052634227 Enrollment ID: I20141218001533 |
| Provider Name | Danielle L Beels |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720478845 PECOS PAC ID: 3375860299 Enrollment ID: I20150402000081 |
| Provider Name | Dustin W Blevins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699166785 PECOS PAC ID: 0749508810 Enrollment ID: I20150422000011 |
| Provider Name | Young Jee S Filer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225085046 PECOS PAC ID: 2365440385 Enrollment ID: I20150602001941 |
| Provider Name | Aon B Barrett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487742466 PECOS PAC ID: 1850379868 Enrollment ID: I20150611003029 |
| 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 | Mackenzie D Wallace |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295103141 PECOS PAC ID: 4587972682 Enrollment ID: I20151008001886 |
| Provider Name | John A Quinn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013393701 PECOS PAC ID: 6608185699 Enrollment ID: I20151013001973 |
| Provider Name | Evan R Palmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356712632 PECOS PAC ID: 5890004196 Enrollment ID: I20151028001154 |
| Provider Name | Christina Messak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356719215 PECOS PAC ID: 8426368622 Enrollment ID: I20151029002385 |
| Provider Name | Kaylee T Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053789925 PECOS PAC ID: 5890005540 Enrollment ID: I20151109000661 |
| 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 | Jonette Ford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184991333 PECOS PAC ID: 2860791308 Enrollment ID: I20160504001461 |
| 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 | Sean R O'kelley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710429840 PECOS PAC ID: 3476833963 Enrollment ID: I20161129000277 |
| Provider Name | Holli M Mcclendon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346782042 PECOS PAC ID: 5193005114 Enrollment ID: I20161209000565 |
| Provider Name | Maria Cirille A Pinon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245512136 PECOS PAC ID: 7416118914 Enrollment ID: I20170203000787 |
| Provider Name | Erin Kovarik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841622370 PECOS PAC ID: 6103060496 Enrollment ID: I20170315001705 |
| Provider Name | Melissa Regan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194257246 PECOS PAC ID: 7911284898 Enrollment ID: I20170502000546 |
| Provider Name | Chris K Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275061053 PECOS PAC ID: 0244508075 Enrollment ID: I20170619002395 |
| Provider Name | Samantha N Bennett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023533478 PECOS PAC ID: 7416221775 Enrollment ID: I20170926000208 |
| Provider Name | Eli Wolff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225554751 PECOS PAC ID: 2567737687 Enrollment ID: I20170928003831 |
| Provider Name | Sean M Trait |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992229017 PECOS PAC ID: 5294008017 Enrollment ID: I20171102001456 |
| Provider Name | Heather M Wharton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598284507 PECOS PAC ID: 5092071464 Enrollment ID: I20171117002570 |
| Provider Name | Jenny Chang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891209326 PECOS PAC ID: 8325306202 Enrollment ID: I20171226000380 |
| 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 | Caitlin Ludington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891203386 PECOS PAC ID: 8527328897 Enrollment ID: I20180206000052 |
| 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 | Maryam Khaniyan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740772730 PECOS PAC ID: 8729335302 Enrollment ID: I20180728000074 |
| Provider Name | Lauren L Astrup |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376036004 PECOS PAC ID: 7315298072 Enrollment ID: I20180919004319 |
| Provider Name | Yi Xie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043642309 PECOS PAC ID: 6406109131 Enrollment ID: I20181026001756 |
| Provider Name | Paula R Rego |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235339409 PECOS PAC ID: 5193805596 Enrollment ID: I20181106002727 |
| Provider Name | Sarah M Clue |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770061285 PECOS PAC ID: 3476807645 Enrollment ID: I20181107002026 |
| Provider Name | Shannon Marie Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508359183 PECOS PAC ID: 7618221797 Enrollment ID: I20181107002674 |
| Provider Name | Ann E Fox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861616427 PECOS PAC ID: 5092059782 Enrollment ID: I20181206002587 |
| Provider Name | Katherine L Huyser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770063596 PECOS PAC ID: 9335483973 Enrollment ID: I20181207001433 |
| Provider Name | Kevin Do |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861977910 PECOS PAC ID: 9032454442 Enrollment ID: I20181212003302 |
| Provider Name | Rick D Heiser |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689900664 PECOS PAC ID: 9436410990 Enrollment ID: I20190108001901 |
| 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 | Maximilian A Reinke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861862344 PECOS PAC ID: 9830409358 Enrollment ID: I20190124003074 |
| Provider Name | Garrett L Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982108288 PECOS PAC ID: 0042553349 Enrollment ID: I20190529001790 |
| Provider Name | Marina P Kobylnik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275140279 PECOS PAC ID: 1951721869 Enrollment ID: I20201014003849 |
| Provider Name | Jacob Hughes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679189823 PECOS PAC ID: 9537579701 Enrollment ID: I20210311000361 |
| Provider Name | Barbara Carey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871161935 PECOS PAC ID: 3274936596 Enrollment ID: I20210724000022 |
| Provider Name | Yannis Mavrommatakis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356867428 PECOS PAC ID: 2163796319 Enrollment ID: I20211007003562 |
| Provider Name | Douglas W Terrone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811426786 PECOS PAC ID: 5698163475 Enrollment ID: I20211027002655 |
| Provider Name | Rachael Farner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316545924 PECOS PAC ID: 2062822679 Enrollment ID: I20220525002954 |
| Provider Name | Theodore Su |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336814649 PECOS PAC ID: 1658777842 Enrollment ID: I20230419002599 |
| Provider Name | Harrison Charles Wirth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306535422 PECOS PAC ID: 3577923010 Enrollment ID: I20230717000823 |
| Provider Name | Alisa Virginia Feuerstein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225890247 PECOS PAC ID: 4183068521 Enrollment ID: I20240214000480 |
| Mailing Address | Practice Location Address |
|---|---|
| Everett Physical Therapy And Sport Performance Center Pllc 2000 Hewitt Ave Ste 115, Everett, WA 98201-3600 Ph: (425) 252-3908 | Everett Physical Therapy And Sport Performance Center Pllc 2000 Hewitt Ave, #115, Everett, WA 98201 Ph: (425) 252-3908 |
Mr. Emerson Muhat, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1919 112th St Sw, Everett, WA 98204 Phone: 425-513-1600 | |
Dr. Simon Jinhung Li, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13410 Highway 99 Ste 204, Everett, WA 98204 Phone: 425-742-7300 | |
Shannon E Long, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3927 Rucker Ave, Everett, WA 98201 Phone: 425-339-5419 | |
Scott Louis Sheffler, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2930 Maple St, Everett, WA 98201 Phone: 425-261-1500 | |
Brittany Kay Leung, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Pacific Ave Ste 130, Everett, WA 98201 Phone: 425-535-0475 | |
Natalie Brenda Lew, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12811 8th Ave W, A-205, Everett, WA 98204 Phone: 425-348-1259 Fax: 425-348-3071 | |
Charlene Wu Sapida, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 919 128th St Sw, Everett, WA 98204 Phone: 425-347-8614 Fax: 425-348-6986 |