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

Northwest Center for Sports Medicine & Physical Therapy Inc

Organization Physical Therapist · NPI 1861057184

Northwest Center for Sports Medicine & Physical Therapy Inc is a Physical Therapist in Mount Vernon, Washington. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
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

2116 E Section St Ste B17
Mount Vernon, WA 98274-9124
Phone: (800) 578-1104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1861057184
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johanneson — Vp Revenue Cycle · (423) 238-2313
NPI enumeratedMay 2, 2019
Last updated in NPPESMay 2, 2019
Mailing address6397 Lee Hwy Ste 300, Chattanooga, TN 37421-4915

Other providers in Mount Vernon