PRO MEDICAL PC
NPI 1215701404
Clinic/Center - Physical Therapy in Bellevue, WA

Active since November 08, 2023CLIA 50D2163324 · Waiver
4455 148TH AVE NE, BELLEVUE, WA 98007(425) 861-6273 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2023, Nov 8, 2023 (2 updates tracked since 2023).

About Pro Medical Pc NPPES

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

PRO MEDICAL PC (NPI 1215701404) is a healthcare organization registered as a physical therapy in Bellevue, Washington and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Mark Dedomenico, Owner, as its authorized official.

NPPES Registry Identity

NPI1215701404
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NamePRO MEDICAL PC
Location Address4455 148TH AVE NEBellevue, WA 98007-3120
Mailing Address4455 148th Ave NeBellevue, WA 98007-3120 · (425) 861-6273
Organization SubpartNo
Authorized OfficialMark DedomenicoOwner · (425) 861-6273
Enumeration DateNovember 8, 2023
Last NPPES UpdateNovember 8, 20232 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
NPI 1215701404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedPodiatristTaxonomy 213E00000X
4455 148TH AVE NE, Bellevue, WA 98007

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2163324

Pro Medical Surgery Center · Bellevue, WA
Active · expires Apr 4, 2028
CLIA Number50D2163324
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 12, 2019
Certificate Expiration DateApril 4, 2028
Laboratory DirectorEvelyn Linderthaler
Laboratory Phone(425) 376-3400
Laboratory LocationPro Medical Surgery Center4455 148th Ave NE Fl B-2, Bellevue, WA 98007
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Physical Medicine & Rehabilitation
4455 148TH AVE NE
BELLEVUE, WA 98007
Physical Therapist
4455 148TH AVE NE
BELLEVUE, WA 98007
Dietitian, Registered
4455 148TH AVE NE
BELLEVUE, WA 98007
Physical Therapist
4455 148TH AVE NE
BELLEVUE, WA 98007
Naturopath
4455 148TH AVE NE
BELLEVUE, WA 98007
Clinic/Center (Health Service)
4455 148TH AVE NE
BELLEVUE, WA 98007
Dietitian, Registered
4455 148TH AVE NE
BELLEVUE, WA 98007
Dietitian, Registered
4455 148TH AVE NE
BELLEVUE, WA 98007

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 Pro Medical PC's NPI number?

The NPI number for Pro Medical PC is 1215701404. It was assigned to this organization in the NPPES registry on November 8, 2023.

Where is Pro Medical PC located?

Pro Medical PC is located at 4455 148th Ave NE, Bellevue, WA 98007. The listed phone number is (425) 861-6273.

What is Pro Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Does Pro Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2163324) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pro Medical PC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Pro Medical PC 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 Pro Medical PC was last updated on November 8, 2023. 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.