Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Bellevue Sports Medicine Clinic Inc

Organization Physical Therapist · NPI 1124039870

Bellevue Sports Medicine Clinic Inc provides Physical Therapist services in Bellevue, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11400 SE 6th St Ste 130
Bellevue, WA 98004-6423 Not confirmed with CMS for 18 years — call before visiting
Phone: (425) 455-0699
Fax: (425) 455-1541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT00010137 (WA)

Record details

NPI number1124039870
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keely Kowalchuk — Director · (425) 455-0699
NPI enumeratedAugust 10, 2006
Last updated in NPPESDecember 5, 2007
Mailing address11400 Se 6th St, Suite 130, Bellevue, WA 98004-6423

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