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EASTSIDE SPORTS REHAB
NPI 1699796755
Clinic/Center - Physical Therapy in Bellevue, WA

Active since July 22, 2006
11400 SE 6TH ST STE 105, BELLEVUE, WA 98004(425) 576-8180(425) 746-2002 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Eastside Sports Rehab NPPES

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

EASTSIDE SPORTS REHAB (NPI 1699796755) is a healthcare organization registered as a physical therapy in Bellevue, Washington and active in the NPI registry since July 2006. The organization lists Nicole Park, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1699796755
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameESRC PLLC
Location Address11400 SE 6TH ST STE 105Bellevue, WA 98004-6419
Mailing Address11400 Se 6th St Ste 105Bellevue, WA 98004-6419 · (425) 576-8180 · Fax (425) 576-2002
Phone(425) 576-8180
Fax(425) 746-2002
Organization SubpartNo
Authorized OfficialNicole ParkBilling Manager · (425) 576-8180
Enumeration DateJuly 22, 2006
Last NPPES UpdateJune 18, 2020
NPPES CertifiedJune 18, 2020
✔ NPI 1699796755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedPhysical TherapistTaxonomy 225100000X
11400 SE 6TH ST STE 105, Bellevue, WA 98004
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Other Names 2

Doing Business AsEastside Sports Rehab
Doing Business AsEastside Sports Rehabilitation Clinics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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)

Eastside Sports Rehab is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Eastside Sports Rehab, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Physical Therapist in Private Practice9
Occupational Therapist in Private Practice1

Clinicians, nearest first (10)

Christopher Bocker, OTR/L
Occupational Therapist in Private Practice
NPI 1275562449
11400 SE 6TH ST STE 105
Bellevue, WA 98004
(206) 448-1906
✔ Accepts MedicareSame address
Hork Do, DPT
Physical Therapist in Private Practice
NPI 1770100281
11400 SE 6TH ST STE 105
Bellevue, WA 98004
(425) 576-8180
✔ Accepts MedicareSame address
Michael Yamashita, PT
Physical Therapist in Private Practice
NPI 1144234311
11400 SE 6TH ST STE 105
Bellevue, WA 98004
(425) 576-8180
✔ Accepts MedicareSame address
Joni Simon, MPT
Physical Therapist in Private Practice
NPI 1124087580
1188 106TH AVE NE SUITE 100
Bellevue, WA 98004
(425) 454-4864
✔ Accepts Medicare1.2 mi
Lisa Devlieg, MPT
Physical Therapist in Private Practice
NPI 1588605042
3101 NORTHUP WAY STE 101
Bellevue, WA 98004
(425) 462-5006
✔ Accepts Medicare2.3 mi
Jamie Pilkington, MSPT
Physical Therapist in Private Practice
NPI 1285657395
10510 NORTHUP WAY SUITE 140
Kirkland, WA 98033
(425) 576-8180
✔ Accepts Medicare2.7 mi
Lisa Van Loben Sels, MPT
Physical Therapist in Private Practice
NPI 1164445292
10510 NORTHUP WAY SUITE 140
Kirkland, WA 98033
(425) 576-8180
2.7 mi
Amie Huynh
Physical Therapist in Private Practice
NPI 1013687334
5620 RAINIER AVE S STE 102
Seattle, WA 98118
(206) 535-8061
✔ Accepts Medicare5.6 mi
Cara Strodel, DPT
Physical Therapist in Private Practice
NPI 1669970927
16261 REDMOND WAY STE 100
Redmond, WA 98052
(425) 881-3001
✔ Accepts Medicare5.6 mi
Allison Fetchero, DPT
Physical Therapist in Private Practice
NPI 1598924631
325 NINTH AVE
Seattle, WA 98104
(206) 744-2563
✔ Accepts Medicare6.4 mi

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 Esrc PLLC's NPI number?

The NPI number for Esrc PLLC is 1699796755. It was assigned to this organization in the NPPES registry on July 22, 2006. The provider is doing business as Eastside Sports Rehab and Eastside Sports Rehabilitation Clinics.

Where is Esrc PLLC located?

Esrc PLLC is located at 11400 SE 6th St Ste 105, Bellevue, WA 98004. The listed phone number is (425) 576-8180.

What is Esrc PLLC's specialty?

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

Is Esrc PLLC enrolled in Medicare?

Yes. Esrc PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Esrc PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Esrc PLLC. 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. The largest specialties are Physical Therapist in Private Practice (9) and Occupational Therapist in Private Practice (1). Of these, 3 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Esrc PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Esrc PLLC 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 Esrc PLLC was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.