Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michaela Jane De Groot, PT, DPT

Individual provider Physical Therapist · NPI 1124674965

Michaela Jane De Groot, PT, DPT is a Physical Therapist in Private Practice in Lacey, Washington. Qualified in 2019, 7 years ago. Practices with King County Public Hospital District No 2, a 585-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
7
Licensed in
WA
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4800 College St SE
Lacey, WA 98503-4389
Phone: (360) 486-2900
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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 PT.PT.60990651 (WA)

Record details

NPI number1124674965
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 16, 2019
Last updated in NPPESAugust 16, 2019
Mailing address5210 N 43rd St, Tacoma, WA 98407-3704

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice King County Public Hospital District No 2 — 585 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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