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

Washington Foot and Ankle Sports Medicine PLLC

Organization Sports Medicine Podiatrist · NPI 1154479327

Washington Foot and Ankle Sports Medicine PLLC is a Sports Medicine Podiatrist in Kirkland, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12911 120th Ave NE Ste C50
Kirkland, WA 98034-3080
Phone: (425) 899-3234
Fax: (425) 899-3235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine Podiatrist (primary) Taxonomy 213ES0000X · Licence PO710 (WA)

Record details

NPI number1154479327
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Maurer — Podiatrist · (425) 899-3234
NPI enumeratedJanuary 6, 2007
Last updated in NPPESJuly 21, 2020
Certification dateJuly 21, 2020
Mailing address12707 120th Ave Ne, Suite 206, Kirkland, WA 98034-7500

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