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

Bonney Lake Physical Therapy and Hand Rehab, PLLC

Organization Physical Therapist · NPI 1558509786

Bonney Lake Physical Therapy and Hand Rehab, PLLC provides Physical Therapist services in Bonney Lake, Washington. Licensed in Washington. Registered with an NPI since 2009.

Licensed in
WA
In the registry since
2009
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20910 State Route 410 E
Bonney Lake, WA 98391-6302 Not confirmed with CMS for 11 years — call before visiting
Phone: (253) 862-2575
Fax: (253) 862-2675
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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 PT5418 (WA)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence PT5418 (WA)
Hand Occupational Therapist Taxonomy 225XH1200X · Licence OT2499 (WA)
Physical Rehabilitation Occupational Therapist Taxonomy 225XP0019X · Licence OT2499 (WA)

Record details

NPI number1558509786
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Egbert — President · (253) 862-2575
NPI enumeratedJanuary 26, 2009
Last updated in NPPESJanuary 19, 2015
Mailing address20910 State Route 410 E, Bonney Lake, WA 98391-6302

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