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

Bonney Lake Physical Therapy and Hand Rehab, PLLC

Organization Physical Therapist · NPI 1558509786

Bonney Lake Physical Therapy and Hand Rehab, PLLC is a Physical Therapist 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
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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