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

Pacific Rehabilitation & Sports Medicine Inc

Organization Physical Therapy Clinic/Center · NPI 1053356717

Pacific Rehabilitation & Sports Medicine Inc is a Physical Therapy Clinic/Center in Renton, 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?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17910 Talbot Rd S #101
Renton, WA 98055
Phone: (425) 235-5588
Fax: (425) 687-9410
Show map & directions

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

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X (WA)
Rehabilitation Clinic/Center Taxonomy 261QR0400X

Record details

NPI number1053356717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Tarvin — Vice President · (717) 975-4503
NPI enumeratedJune 18, 2006
Last updated in NPPESFebruary 29, 2008
Mailing address4716 Old Gettysburg Rd, Mechanicsburg, PA 17055

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