Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bellevue Sports Medicine Clinic Inc

Organization Physical Therapist · NPI 1124039870

Bellevue Sports Medicine Clinic Inc is a Physical Therapist 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
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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