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

Emmanuel Peralta Bazar, PHYSICALTHERAPY

Individual provider Physical Therapist · NPI 1467922633

Emmanuel Peralta Bazar, PHYSICALTHERAPY is a Physical Therapist in Auburn, Washington. Works from 2 locations. Licensed in New York and Washington.

Licensed in
NY, WA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

720 12th St SE
Auburn, WA 98002-6708
Phone: (253) 735-3606
Fax: (253) 351-9807
Show map & directions

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

Additional practice locations (1)

  • 18311 Hillside Ave Apt 9l, Jamaica, NY 11432-4845 — (408) 763-6933

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 042599 (NY)
Physical Therapist Taxonomy 225100000X (WA)

Record details

NPI number1467922633
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPY
Sole proprietorNo
NPI enumeratedNovember 30, 2018
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023

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