Lake Sammamish Physical Therapy - Medicare in Issaquah, WA

Lake Sammamish Physical Therapy is a medicare enrolled "Physical Therapist" provider in Issaquah, Washington. Their current practice location is 6520 226th Pl Se Ste 201, Issaquah, Washington. You can reach out to their office (for appointments etc.) via phone at (425) 391-5504.

Lake Sammamish Physical Therapy is licensed to practice in Washington (license number ) and it also participates in the medicare program. Lake Sammamish Physical Therapy 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 1740407816.

Contact Information

Lake Sammamish Physical Therapy
6520 226th Pl Se Ste 201,
Issaquah, WA 98027-8969
(425) 391-5504
(425) 391-3670

Map and Direction




Healthcare Provider's Profile

Full NameLake Sammamish Physical Therapy
TypeFacility
SpecialityPhysical Therapist
Location6520 226th Pl Se Ste 201, Issaquah, Washington
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740407816
  • Provider Enumeration Date: 04/19/2007
  • Last Update Date: 11/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0840188694
  • Enrollment ID: O20040304001107

Medical Identifiers

Medical identifiers for Lake Sammamish Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740407816NPI-NPPES
0039830OtherWALABOR AND INDUSTRY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))Secondary
225100000XPhysical Therapist (Washington)Primary
225X00000XOccupational Therapist (* (Not Available))Secondary
332B00000XDurable Medical Equipment & Medical Supplies (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lake Sammamish Physical Therapy acts as a billing entity for following providers:
Provider NameTracy E Springman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1114965001
PECOS PAC ID: 6204727076
Enrollment ID: I20040602000147
Provider NameIan A Johnsen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851466411
PECOS PAC ID: 2264471325
Enrollment ID: I20050427001344
Provider NameRonald James Tyler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477799534
PECOS PAC ID: 9436179249
Enrollment ID: I20051122000794
Provider NameKyle Forbes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235379264
PECOS PAC ID: 0345397576
Enrollment ID: I20090406000095
Provider NameShelly A Norvell
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1558561423
PECOS PAC ID: 8628126703
Enrollment ID: I20090429000183
Provider NameBenjamin J Kevan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508199670
PECOS PAC ID: 3072650456
Enrollment ID: I20091019000128
Provider NameMaureen S Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720063449
PECOS PAC ID: 5799823357
Enrollment ID: I20091119000218
Provider NameLynne Wolf
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1104889807
PECOS PAC ID: 4688667082
Enrollment ID: I20101025001280
Provider NameAshley D Darnell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558640748
PECOS PAC ID: 0446423131
Enrollment ID: I20111025000098
Provider NameJessica M. Sankey
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1467742569
PECOS PAC ID: 5193900132
Enrollment ID: I20140320000989
Provider NameGina Sue Yuasa
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1629450903
PECOS PAC ID: 1951616093
Enrollment ID: I20150818005199
Provider NameMargret L Lyons
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1598114472
PECOS PAC ID: 4183918030
Enrollment ID: I20160816000578
Provider NameInayat Kaur
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396005724
PECOS PAC ID: 9436447877
Enrollment ID: I20161018000750
Provider NameSarah E Steckel
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1730613084
PECOS PAC ID: 3779851910
Enrollment ID: I20170613000547
Provider NameNatalie S Allen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1598281933
PECOS PAC ID: 8022382977
Enrollment ID: I20170915003195
Provider NameBinie Thomas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417936881
PECOS PAC ID: 9234161639
Enrollment ID: I20171024003304
Provider NameEmily J Nugen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1457867822
PECOS PAC ID: 6406116110
Enrollment ID: I20180126002534
Provider NameDaniel Hagan
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1871095646
PECOS PAC ID: 7214299924
Enrollment ID: I20180316001286
Provider NameMelissa M Garcia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821659350
PECOS PAC ID: 2466782131
Enrollment ID: I20190923002108
Provider NameCorinne Marie Lizzio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346898509
PECOS PAC ID: 6507276813
Enrollment ID: I20201027002523
Provider NameChristopher Blake White
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801318852
PECOS PAC ID: 5890022768
Enrollment ID: I20201120001420
Provider NameLaura Elizabeth Fears
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1750982963
PECOS PAC ID: 2961815816
Enrollment ID: I20210113002510
Provider NameJennifer Barbara Jesski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972050144
PECOS PAC ID: 7214342393
Enrollment ID: I20210223002201
Provider NameYushi Wang
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1417546862
PECOS PAC ID: 0941619860
Enrollment ID: I20210505002757
Provider NameCaitlin Motte Cooney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821497264
PECOS PAC ID: 3375763774
Enrollment ID: I20210609002257
Provider NameJhansi Juluri
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003498387
PECOS PAC ID: 9032510706
Enrollment ID: I20210701002019
Provider NameMichal Shafir
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558937391
PECOS PAC ID: 9638571615
Enrollment ID: I20210713003545
Provider NameEvan James Gonzalez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194246850
PECOS PAC ID: 4587067681
Enrollment ID: I20210727003299
Provider NameVanessa Maria Kopaniak
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598337156
PECOS PAC ID: 3476958554
Enrollment ID: I20210827001434
Provider NameTenzin Choephel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013565647
PECOS PAC ID: 5597094201
Enrollment ID: I20211022001842
Provider NameBrandt Matthew Seward
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770258774
PECOS PAC ID: 1456749233
Enrollment ID: I20211027002545
Provider NameTessa Josephine Dimock
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811659915
PECOS PAC ID: 9739578741
Enrollment ID: I20211112001870
Provider NameValerie Kristen Miller
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1144769621
PECOS PAC ID: 2466831284
Enrollment ID: I20220623003312

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. Lake Sammamish Physical Therapy 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
Lake Sammamish Physical Therapy
11711 Ne 12th St Ste 3a,
Bellevue, WA 98005-2461

Ph: (425) 450-9474
Lake Sammamish Physical Therapy
6520 226th Pl Se Ste 201,
Issaquah, WA 98027-8969

Ph: (425) 391-5504

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.