| Mark J Bouma, DPT | |
|
7650 Se 27th St, Suite 112, Mercer Island, WA 98040-3060 | |
| (206) 230-8320 | |
| (206) 230-8315 |
| Full Name | Mark J Bouma |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 19 Years |
| Location | 7650 Se 27th St, Mercer Island, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659381069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00010212 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Washington Physical Therapy Llc | 3476679812 | 42 |
| Provider Name | Seattle Orthopedic & Sports Physical Therapy, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861660532 PECOS PAC ID: 5890873301 Enrollment ID: O20080424000361 |
| Provider Name | Lake Washington Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1770894990 PECOS PAC ID: 3476679812 Enrollment ID: O20100923000289 |
| Provider Name | Washington Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1346808052 PECOS PAC ID: 7416283817 Enrollment ID: O20190723002308 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark J Bouma, DPT 1309 Harbor Ave Sw, Ste A, Seattle, WA 98116-1784 Ph: (630) 296-2223 | Mark J Bouma, DPT 7650 Se 27th St, Suite 112, Mercer Island, WA 98040-3060 Ph: (206) 230-8320 |
Alexandra Peterson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9150 Fortuna Dr, Mercer Island, WA 98040 Phone: 206-316-8042 | |
Joy Danielle Bergstedt, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7525 Se 24th St, Suite 510, Mercer Island, WA 98040 Phone: 206-230-8320 Fax: 206-230-8315 | |
Tanner Lee Dalgardno, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7900 Se 28th St Ste 102, Mercer Island, WA 98040 Phone: 206-232-9045 | |
Laura E Broudy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7900 Se 28th St Ste 102, Mercer Island, WA 98040 Phone: 206-232-9045 Fax: 206-232-8871 | |
Dr. Lia Buzzell, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7900 Se 28th St Ste 102, Mercer Island, WA 98040 Phone: 206-232-9045 Fax: 206-232-8871 | |
Sandra Efseaff, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7452 W Mercer Way, Mercer Island, WA 98040 Phone: 206-230-0505 | |
Carter Ryan Phillips, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7650 Se 27th St Ste 112, Mercer Island, WA 98040 Phone: 206-230-8320 |