Northwest Physical Therapy Sports Rehabilitation Center, Inc., P.s. - Medicare Physical Therapist in Mount Vernon, WA

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Northwest Physical Therapy Sports Rehabilitation Center, Inc., P.s. is a medicare enrolled "Physical Therapist" provider in Mount Vernon, Washington. Their current practice location is 110 N Laventure Rd, Ste A, Mount Vernon, Washington. You can reach out to their office (for appointments etc.) via phone at (360) 428-2700.

Northwest Physical Therapy Sports Rehabilitation Center, Inc., P.s. is licensed to practice in Washington (license number 600377134) and it also participates in the medicare program. Northwest Physical Therapy Sports Rehabilitation Center, Inc., P.s. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1174523054.

Contact Information

Northwest Physical Therapy Sports Rehabilitation Center, Inc., P.s.
110 N Laventure Rd, Ste A,
Mount Vernon, WA 98273-3901
(360) 428-2700
(360) 428-2701

Map and Direction




Healthcare Provider's Profile

Full NameNorthwest Physical Therapy Sports Rehabilitation Center, Inc., P.s.
TypeFacility
SpecialityPhysical Therapist
Location110 N Laventure Rd, Mount Vernon, Washington
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174523054
  • Provider Enumeration Date: 07/21/2005
  • Last Update Date: 04/22/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8820989551
  • Enrollment ID: O20040323000459

Medical Identifiers

Medical identifiers for Northwest Physical Therapy Sports Rehabilitation Center, Inc., P.s. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174523054NPI-NPPES
7155104MedicaidWA
CF8029OtherWARAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 600377134 (Washington)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Northwest Physical Therapy Sports Rehabilitation Center, Inc., P.s. acts as a billing entity for following providers:
Provider NameDaniel J Day
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295735447
PECOS PAC ID: 3678561404
Enrollment ID: I20040503000209
Provider NameKimberly M Mcbride
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023018116
PECOS PAC ID: 2466412549
Enrollment ID: I20041013000592
Provider NameTawny L Bridge Pope
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639279599
PECOS PAC ID: 5496802555
Enrollment ID: I20090408000090
Provider NameMegan C Douglas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548348147
PECOS PAC ID: 1355440850
Enrollment ID: I20100603000890
Provider NamePatrick S Mcbride
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417957044
PECOS PAC ID: 3072792910
Enrollment ID: I20110125000700
Provider NameAshley L Shaner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013210111
PECOS PAC ID: 9931376852
Enrollment ID: I20120118000162
Provider NameStacy J Asarian
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841637543
PECOS PAC ID: 9537397716
Enrollment ID: I20140115000729
Provider NameMarcella J Petricca
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578014478
PECOS PAC ID: 3072891753
Enrollment ID: I20161101000269
Provider NameAaron J Van Wieringen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407208044
PECOS PAC ID: 7911286141
Enrollment ID: I20161110002584
Provider NameBrielle E Kadrmas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790207884
PECOS PAC ID: 2264704402
Enrollment ID: I20170822003569
Provider NameSean R Dodson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689104069
PECOS PAC ID: 6406129493
Enrollment ID: I20170913003976
Provider NameNicholas J Chamley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114345527
PECOS PAC ID: 6800029323
Enrollment ID: I20180808001627
Provider NameDavis J Hackman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477018042
PECOS PAC ID: 5092058735
Enrollment ID: I20190520002496
Provider NameMegan Thomas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447281472
PECOS PAC ID: 4486089356
Enrollment ID: I20200123000083
Provider NameLaura Elizabeth Rich
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376135103
PECOS PAC ID: 0143629261
Enrollment ID: I20210521002381
Provider NameMelody Ann Rogers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417574492
PECOS PAC ID: 4880005073
Enrollment ID: I20211015002588

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Northwest Physical Therapy Sports Rehabilitation Center, Inc., P.s. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Northwest Physical Therapy Sports Rehabilitation Center, Inc., P.s.
110 N Laventure Rd, Ste A,
Mount Vernon, WA 98273-3901

Ph: (360) 428-2700		Northwest Physical Therapy Sports Rehabilitation Center, Inc., P.s.
110 N Laventure Rd, Ste A,
Mount Vernon, WA 98273-3901

Ph: (360) 428-2700

Reviews and Comments


Physical Therapist in Mount Vernon, WA

Keelymae J Regan, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Continental Pl, Mount Vernon, WA 98273
Phone: 360-424-7041    Fax: 360-424-2456
Lane Williams,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 110 N Laventure Rd Ste A, Mount Vernon, WA 98273
Phone: 360-428-2700    Fax: 360-428-2701
Dr. Dana Sturtz, DPT, GCS
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1415 E Kincaid St, Mount Vernon, WA 98274
Phone: 360-814-2184    
Urban Fitness And Health
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 525 E College Way, Mount Vernon, WA 98273
Phone: 206-999-9310    
Kimberly Kae Miller, MPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1401 S Laventure Rd, Mount Vernon, WA 98274
Phone: 360-424-2400    Fax: 360-424-2418
Sarah Louise Johnston, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1415 E Kincaid St, Mount Vernon, WA 98274
Phone: 360-814-2699    
Jessica Ann Younger, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1415 E Kincaid St, Childrens Therapy Department, Mount Vernon, WA 98274
Phone: 360-814-2696    Fax: 360-814-5467

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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