PHYSIO NORTHWEST
NPI 1124648092
Clinic/Center - Physical Therapy in Buckley, WA
About Physio Northwest NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHYSIO NORTHWEST (NPI 1124648092) is a healthcare organization registered as a physical therapy in Buckley, Washington and active in the NPI registry since April 2020. The organization maintains a secondary practice location in Auburn and lists Ashley Stanley, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Physio Northwest is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Physio Northwest, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Physio Northwest LLC's NPI number?
The NPI number for Physio Northwest LLC is 1124648092. It was assigned to this organization in the NPPES registry on April 21, 2020. The provider is doing business as Physio Northwest. The provider is also known as Physio NW.
Where is Physio Northwest LLC located?
Physio Northwest LLC is located at 23313 57th St E, Buckley, WA 98321. The listed phone number is (617) 935-6190.
What is Physio Northwest LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Physio Northwest LLC enrolled in Medicare?
Yes. Physio Northwest LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Physio Northwest LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Physio Northwest LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Physio Northwest LLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Physio Northwest LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Physio Northwest LLC was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Physio Northwest · NPI 1124648092
Physical Therapy organization in Buckley, Washington. Organization record, active in the CMS NPPES registry since April 21, 2020.
## Identity
- **NPI:** 1124648092 (Entity type: Organization)
- **Enumerated:** April 21, 2020
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Legal business name:** Physio Northwest Llc
- **Also known as:** Physio NW (Other Name)
- **Organization subpart:** No
- **Authorized official:** Ashley Stanley, OWNER
## Practice location
- **Address:** 23313 57TH ST E, Buckley, WA 98321-8725
- **Phone:** (617) 935-6190
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124648092) · Data from the CMS NPPES public registry.