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

Pine Lake Physical Therapy & Sports Rehab, P.s.

Organization Orthopedic Physical Therapist · NPI 1356471684

Pine Lake Physical Therapy & Sports Rehab, P.s. is an Orthopedic Physical Therapist in Sammamish, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

2850 228th Ave SE Ste B
Sammamish, WA 98075-9301
Phone: (425) 391-4488
Fax: (425) 391-8287
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT00003047 (WA)

Record details

NPI number1356471684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Enyeart — Owner · (425) 391-4488
NPI enumeratedMarch 6, 2007
Last updated in NPPESMarch 19, 2009
Mailing address2850 228th Ave Se, Suite B, Sammamish, WA 98075-9301

Other providers in Sammamish