Performance Physical Therapy - Bonney Lake is a
Physical Therapist based in Bonney Lake, Washington. Performance Physical Therapy - Bonney Lake is licensed to practice in * (Not Available) (license number ) and their current practice location is
21525 State Route 410 E Ste B, Bonney Lake, Washington. It can be reached at their office (for appointments etc.) via phone at
(253) 826-8520.
NPI number for Performance Physical Therapy - Bonney Lake is 1689224982 and their current mailing address is 915 118th Ave Se Ste 110, Bellevue, Washington. Performance Physical Therapy - Bonney Lake
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1689224982.
Healthcare Provider's Profile
| Full Name | Performance Physical Therapy - Bonney Lake |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 21525 State Route 410 E Ste B, Bonney Lake, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689224982
- Provider Enumeration Date: 09/18/2019
- Last Update Date: 09/24/2019
Medical Identifiers
Medical identifiers for Performance Physical Therapy - Bonney Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689224982 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
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. Performance Physical Therapy - Bonney Lake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Performance Physical Therapy - Bonney Lake
915 118th Ave Se Ste 110,
Bellevue, WA 98005-3875
Ph: (425) 450-9474 | Performance Physical Therapy - Bonney Lake
21525 State Route 410 E Ste B,
Bonney Lake, WA 98391-4101
Ph: (253) 826-8520 |
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