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

Divya Mallar, PT

Individual provider Physical Therapist · NPI 1952360315

Divya Mallar, PT is a Physical Therapist in Private Practice in Bellevue, Washington. Qualified in 2004, 22 years ago. Practices with Washington Luna Care Physical Therapy LLC, a 162-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
22
Licensed in
WA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1750 112th Ave NE Bldg 4 Ste E175
Bellevue, WA 98004-3752
Phone: (425) 289-0381
Fax: (425) 239-0387
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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 PT00009837 (WA)

Record details

NPI number1952360315
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 22, 2006
Last updated in NPPESMarch 24, 2017
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Washington Luna Care Physical Therapy Llc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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