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

Pacific Sports Rehab, PLLC

Organization Sports Physical Therapist · NPI 1790406965

Pacific Sports Rehab, PLLC is a Sports Physical Therapist in Mountlake Terrace, Washington. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

6912 220th St SW Ste 205
Mountlake Terrace, WA 98043-2169
Phone: (206) 465-3616
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X
Sports Physical Therapist Taxonomy 2251S0007X
Occupational Therapist Taxonomy 225X00000X
Hand Occupational Therapist Taxonomy 225XH1200X

Record details

NPI number1790406965
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Simpson — Physical Therapist/Owner · (425) 712-1978
NPI enumeratedSeptember 7, 2022
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024
Mailing address6912 220th St Sw Ste 205, Mountlake Terrace, WA 98043-2169