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

Orthosport Physical Therapy LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1750471538

Orthosport Physical Therapy LLC is a Physical Medicine & Rehabilitation Physician in Lynnwood, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19217 36th Ave W Ste 102
Lynnwood, WA 98036-5751
Phone: (425) 670-9991
Fax: (425) 670-9995
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence PT00002005 (WA)

Record details

NPI number1750471538
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Diangelis — Owner · (425) 670-9991
NPI enumeratedOctober 13, 2006
Last updated in NPPESDecember 18, 2015
Mailing address19217 36th Ave W, Suite 102, Lynnwood, WA 98036-5751

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