Mountlake Sports & Physical Therapy Ps in Everett, WA - Medicare Physical Therapist Provider

Mountlake Sports & Physical Therapy Ps is a medicare enrolled "Physical Therapist" provider in Everett, Washington. Their current practice location is 9505 19th Ave Se, 101, Everett, Washington. You can reach out to their office (for appointments etc.) via phone at (425) 379-8120.

Mountlake Sports & Physical Therapy Ps is licensed to practice in Washington (license number PT00003917) and it also participates in the medicare program. Mountlake Sports & Physical Therapy Ps 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 1528331402.

Contact Information

	Mountlake Sports & Physical Therapy Ps
	9505 19th Ave Se, 101, Everett, WA 98208-3853
	(425) 379-8120
	(425) 338-1789

Map and Direction

Healthcare Provider's Profile

Full Name	Mountlake Sports & Physical Therapy Ps
Type	Facility
Speciality	Physical Therapist
Location	9505 19th Ave Se, Everett, Washington
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528331402
Provider Enumeration Date: 02/22/2012
Last Update Date: 02/22/2012

Medicare PECOS Information:

PECOS PAC ID: 0840645230
Enrollment ID: O20231004001992

Medical Identifiers

Medical identifiers for Mountlake Sports & Physical Therapy Ps such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528331402	NPI	-	NPPES
7084650	Medicaid	WA
0151396	Other	WA	DEPARTMENT OF LABOR & INDUSTRIES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT00003917 (Washington)	Primary
225100000X	Physical Therapist	PT60178380 (Washington)	Secondary
225700000X	Massage Therapist	MA00018299 (Washington)	Secondary
225700000X	Massage Therapist	MA00015079 (Washington)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mountlake Sports & Physical Therapy Ps acts as a billing entity for following providers:

Provider Name	Edwin Tria Malijan
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1588718027 PECOS PAC ID: 2668827056 Enrollment ID: I20231004002066

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. Mountlake Sports & Physical Therapy Ps 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 Address	Practice Location Address
Mountlake Sports & Physical Therapy Ps 9505 19th Ave Se, 101, Everett, WA 98208-3853 Ph: (425) 379-8120	Mountlake Sports & Physical Therapy Ps 9505 19th Ave Se, 101, Everett, WA 98208-3853 Ph: (425) 379-8120

Reviews and Comments

Physical Therapist in Everett, WA

Mr. Emerson Muhat, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1919 112th St Sw, Everett, WA 98204 Phone: 425-513-1600
Dr. Simon Jinhung Li, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13410 Highway 99 Ste 204, Everett, WA 98204 Phone: 425-742-7300
Shannon E Long, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3927 Rucker Ave, Everett, WA 98201 Phone: 425-339-5419
Scott Louis Sheffler, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2930 Maple St, Everett, WA 98201 Phone: 425-261-1500
Brittany Kay Leung, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Pacific Ave Ste 130, Everett, WA 98201 Phone: 425-535-0475
Natalie Brenda Lew, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12811 8th Ave W, A-205, Everett, WA 98204 Phone: 425-348-1259 Fax: 425-348-3071
Charlene Wu Sapida, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 919 128th St Sw, Everett, WA 98204 Phone: 425-347-8614 Fax: 425-348-6986

Mountlake Sports & Physical Therapy Ps - Medicare Physical Therapist in Everett, WA