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

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

Organization Physical Therapist · NPI 1174523054

Northwest Physical Therapy Sports Rehabilitation Center, Inc , P.s. is a Physical Therapist 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
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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