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

Mara Jacobo Amezquita, DPT

Individual provider Physical Therapist · NPI 1396580981

Mara Jacobo Amezquita, DPT is a Physical Therapist in Private Practice in Federal Way, Washington. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

909 S 336th St Ste 100
Federal Way, WA 98003-7394
Phone: (253) 661-5166
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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 PT61473275 (WA)

Record details

NPI number1396580981
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 26, 2024
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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