LAUREN SUMMERVILLE
NPI 1114601044
Physical Therapist in Kent, WA

Active since June 12, 2023Accepts Medicare Assignment
25615 104TH AVE SE, KENT, WA 98030(253) 872-2030(253) 872-2550 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2026, Jun 12, 2023 (2 updates tracked since 2023).

About Lauren Summerville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREN SUMMERVILLE (NPI 1114601044) is an individual physical therapist in Kent, Washington, licensed in Washington (PT70063671) and active in the NPI registry since June 2023. She maintains a secondary practice location in Springfield and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114601044
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameLAUREN SUMMERVILLE
Location Address25615 104TH AVE SEKent, WA 98030-7609
Mailing AddressPo Box 5299, Ms: 820-5-pcoTacoma, WA 98415-0299
Fax(253) 872-2550
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 12, 2023
Last NPPES UpdateJanuary 13, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
NPI 1114601044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in WA · PT70063671
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
25615 104TH AVE SE, Kent, WA 98030

Secondary Practice Location 1

Location 16805 Industrial Rd Ste 3100Springfield, VA 22151-4206 · Phone (703) 256-2171

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lauren Summerville is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597242354
PECOS Enrollment IDI20260122003276

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
25615 104TH AVE SE
KENT, WA 98030
Physical Therapist
25615 104TH AVE SE
KENT, WA 98030
Physical Therapist
25615 104TH AVE SE
KENT, WA 98030
Physical Therapist
25615 104TH AVE SE
KENT, WA 98030
Physical Therapist
25615 104TH AVE SE
KENT, WA 98030
Physical Therapist
25615 104TH AVE SE
KENT, WA 98030
Massage Therapist
25615 104TH AVE SE
KENT, WA 98030
Massage Therapist
25615 104TH AVE SE
KENT, WA 98030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauren Summerville's NPI number?

The NPI number for Lauren Summerville is 1114601044. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Where is Lauren Summerville located?

Lauren Summerville practices at 25615 104th Ave SE, Kent, WA 98030. The listed phone number is (253) 872-2030.

What is Lauren Summerville's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Lauren Summerville enrolled in Medicare?

Yes. Lauren Summerville is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lauren Summerville was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.