Pacific Sports Rehab, Pllc - Medicare in Mountlake Terrace, WA

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Pacific Sports Rehab, Pllc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Mountlake Terrace, Washington. Their current practice location is 6912 220th St Sw Ste 205, Mountlake Terrace, Washington. You can reach out to their office (for appointments etc.) via phone at (425) 712-1987.

Pacific Sports Rehab, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Pacific Sports Rehab, Pllc 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 1427770122.

Contact Information

Pacific Sports Rehab, Pllc
6912 220th St Sw Ste 205,
Mountlake Terrace, WA 98043-2169
(425) 712-1987
Not Available

Map and Direction




Healthcare Provider's Profile

Full NamePacific Sports Rehab, Pllc
TypeFacility
SpecialityClinic/center - Physical Therapy
Location6912 220th St Sw Ste 205, Mountlake Terrace, Washington
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427770122
  • Provider Enumeration Date: 09/19/2022
  • Last Update Date: 04/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2264802735
  • Enrollment ID: O20221227000258

Medical Identifiers

Medical identifiers for Pacific Sports Rehab, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427770122NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Pacific Sports Rehab, Pllc acts as a billing entity for following providers:
Provider NameMegan C Douglas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548348147
PECOS PAC ID: 1355440850
Enrollment ID: I20100603000890
Provider NameBryan David Simpson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700266673
PECOS PAC ID: 6507171022
Enrollment ID: I20150813009304
Provider NameNatalie S Allen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1598281933
PECOS PAC ID: 8022382977
Enrollment ID: I20170915003195
Provider NameStephen Coombs
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326634981
PECOS PAC ID: 7810303708
Enrollment ID: I20220121001319
Provider NameJamie Rachel Wang
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629800388
PECOS PAC ID: 3375074701
Enrollment ID: I20241009001008
Provider NameLydia Grace Stout
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1649099672
PECOS PAC ID: 4183157258
Enrollment ID: I20241108002166

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. Pacific Sports Rehab, Pllc 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
Pacific Sports Rehab, Pllc
6912 220th St Sw Ste 205,
Mountlake Terrace, WA 98043-2169

Ph: (425) 712-1987		Pacific Sports Rehab, Pllc
6912 220th St Sw Ste 205,
Mountlake Terrace, WA 98043-2169

Ph: (425) 712-1987

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).

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