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

Mark J Bouma, DPT

Individual provider Physical Therapist · NPI 1659381069

Mark J Bouma, DPT is a Physical Therapist in Private Practice in Mercer Island, Washington. Qualified in 2006, 20 years ago. Practices with Lake Washington Physical Therapy LLC, a 55-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
20
Licensed in
WA
In the registry since
2006
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

7650 SE 27th St Ste 112
Mercer Island, WA 98040-3060
Phone: (206) 230-8320
Fax: (206) 230-8315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 68 Willow Rd, Menlo Park, CA 94025-3653 — (866) 839-6979
  • 13315 68th Pl Ne, Kirkland, WA 98034-1650 — (866) 839-6979

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT00010212 (WA)

Record details

NPI number1659381069
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 8, 2006
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021
Mailing address1309 Harbor Ave Sw, Ste A, Seattle, WA 98116-1784

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Lake Washington Physical Therapy Llc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mercer Island