Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Peter Kolodychuk

Individual provider Physical Therapist · NPI 1215545165

Peter Kolodychuk is registered under Physical Therapist in Private Practice in Mount Vernon, Washington. Qualified in 2020, 6 years ago. Practices with Northwest Center for Sports Medicine and Physical Therapy Inc, a 87-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
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Practice location Address checks out

2116 E Section St Ste B17
Mount Vernon, WA 98274-9124
Phone: (360) 588-4241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1215545165
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 16, 2020
Last updated in NPPESJuly 16, 2020
Certification dateJuly 16, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Northwest Center For Sports Medicine And Physical Therapy Inc — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients73
Services billed 1,335 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Northwest Center for Sports Medicine and Physical Therapy Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 87 clinicians in the practice; 12 are shown here.

Other providers in Mount Vernon