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

Deandra T Elcock

Individual provider Physical Therapist · NPI 1720698996

Deandra T Elcock is a Physical Therapist in Private Practice in Marysville, Washington. Qualified in 2018, 8 years ago. Practices with Optum Care Washington PLLC, a 685-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2020
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Practice location Address checks out

2901 174th St NE
Marysville, WA 98271-4743
Phone: (360) 454-1990
Fax: (360) 454-1991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT61093571 (WA)

Record details

NPI number1720698996
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 3, 2020
Last updated in NPPESAugust 3, 2020
Certification dateAugust 3, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Optum Care Washington Pllc — 685 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Marysville