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

Georgina J Azzam

Individual provider Physical Therapist · NPI 1760215156

Georgina J Azzam is a Physical Therapist in Private Practice in Puyallup, Washington. Qualified in 2022, 4 years ago. Practices with Ati Holdings, LLC, a 439-clinician group and accepts Medicare assignment. Licensed in Maryland and Washington.

Years since qualifying
4
Licensed in
MD, WA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

15614 Meridian E Ste 100
Puyallup, WA 98375-5100
Phone: (253) 840-5511
Fax: (253) 840-0835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (MD)
Physical Therapist Taxonomy 225100000X (WA)

Record details

NPI number1760215156
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 22, 2024
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ati Holdings, Llc — 439 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Puyallup