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

Northwest Physical Therapy Sports Rehabilitation Center, Inc , P.s.

Organization Physical Therapist · NPI 1174523054

Northwest Physical Therapy Sports Rehabilitation Center, Inc , P.s. provides Physical Therapist services in Mount Vernon, Washington. Licensed in Washington. Registered with an NPI since 2005.

Licensed in
WA
In the registry since
2005
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

110 N Laventure Rd Ste A
Mount Vernon, WA 98273-3901 Not confirmed with CMS for 18 years — call before visiting
Phone: (360) 428-2700
Fax: (360) 428-2701
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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 600377134 (WA)

Record details

NPI number1174523054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ernest Nihi — Office Administration · (360) 428-2700
NPI enumeratedJuly 21, 2005
Last updated in NPPESApril 22, 2008
Mailing address110 N Laventure Rd, Ste A, Mount Vernon, WA 98273-3901

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