| Eastside Sports Rehab | |
|
11400 Se 6th St Ste 105, Bellevue, WA 98004-6419 | |
| (425) 576-8180 | |
| (425) 746-2002 |
| Full Name | Eastside Sports Rehab |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 11400 Se 6th St Ste 105, Bellevue, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699796755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | Christopher Bocker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275562449 PECOS PAC ID: 7214930056 Enrollment ID: I20060816000189 |
| Provider Name | Lisa M Van Loben Sels |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164445292 PECOS PAC ID: 1052496692 Enrollment ID: I20080306000725 |
| Provider Name | Jamie T Pilkington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285657395 PECOS PAC ID: 3274618624 Enrollment ID: I20080310000117 |
| Provider Name | Michael H Yamashita |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144234311 PECOS PAC ID: 8921183849 Enrollment ID: I20080317000262 |
| Provider Name | Joni C Simon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124087580 PECOS PAC ID: 4082806906 Enrollment ID: I20101011001150 |
| Provider Name | Lisa J Devlieg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588605042 PECOS PAC ID: 7416129580 Enrollment ID: I20111013000678 |
| Provider Name | Allison J Fetchero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598924631 PECOS PAC ID: 2860611977 Enrollment ID: I20140922001498 |
| Provider Name | Hork Chay Do |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770100281 PECOS PAC ID: 8325458359 Enrollment ID: I20201103001946 |
| Provider Name | Kaitlin Stewart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174955611 PECOS PAC ID: 4688818826 Enrollment ID: I20210118000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Sports Rehab 11400 Se 6th St Ste 105, Bellevue, WA 98004-6419 Ph: (425) 576-8180 | Eastside Sports Rehab 11400 Se 6th St Ste 105, Bellevue, WA 98004-6419 Ph: (425) 576-8180 |