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

Madhu Enjati, PT

Individual provider Physical Therapist · NPI 1114214079

Madhu Enjati, PT is a Physical Therapist in Private Practice in Liberty Lake, Washington. Qualified in 1992, 34 years ago. Practices with Paragon Outpatient Rehabilitation Services LLC, a 200-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
34
Licensed in
WA
In the registry since
2011
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

21200 E Country Vista Dr D101
Liberty Lake, WA 99019-7636
Phone: (623) 521-8653
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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 PT60213179 (WA)

Record details

NPI number1114214079
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJune 29, 2011
Last updated in NPPESJune 29, 2011

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Paragon Outpatient Rehabilitation Services Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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