PACIFIC SPORTS REHAB, PLLC - NPI 1790406965 - Physical Therapist in Mountlake Terrace, WA

Q: What is Pacific Sports Rehab, PLLC's NPI number?

The NPI number for Pacific Sports Rehab, PLLC is 1790406965. It was assigned to this organization in the NPPES registry on September 7, 2022.

Q: What is Pacific Sports Rehab, PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

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About Pacific Sports Rehab, Pllc NPPES

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

PACIFIC SPORTS REHAB, PLLC (NPI 1790406965) is a healthcare organization registered as an orthopedic in Mountlake Terrace, Washington and active in the NPI registry since September 2022. The organization lists Bryan Simpson, Physical Therapist/owner, as its authorized official.

NPPES Registry Identity

NPI1790406965

Entity TypeOrganization

Primary Taxonomy2251X0800X

Legal Business NamePACIFIC SPORTS REHAB, PLLC

Location Address6912 220TH ST SW STE 205Mountlake Terrace, WA 98043-2169

Mailing Address6912 220th St Sw Ste 205Mountlake Terrace, WA 98043-2169

Phone(206) 465-3616

Organization SubpartNo

Authorized OfficialBryan SimpsonPhysical Therapist/owner · (425) 712-1978

Enumeration DateSeptember 7, 2022

Last NPPES UpdateJune 13, 20242 updates tracked since enumeration

NPPES CertifiedJune 13, 2024

✔ NPI 1790406965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Also ListedPhysical Therapist · SportsTaxonomy 2251S0007X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedOccupational Therapist · HandTaxonomy 225XH1200X

6912 220TH ST SW STE 205, Mountlake Terrace, WA 98043

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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

Other Providers at the Same Location NPPES 8

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

BRYAN SIMPSON DPT

Physical Therapist