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

Phyllis Vandervort, PT

Individual provider Physical Therapist · NPI 1902202740

Phyllis Vandervort, PT is a Physical Therapist in Private Practice in Snoqualmie, Washington. Qualified in 2010, 16 years ago. Practices with Integrated Rehabilitation Group PC, a 195-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
16
Licensed in
WA
In the registry since
2014
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

7726 Center Blvd SE Ste 220
Snoqualmie, WA 98065-8748
Phone: (425) 396-7778
Fax: (425) 396-7097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 60418213 (WA)

Record details

NPI number1902202740
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 5, 2014
Last updated in NPPESNovember 5, 2014
Mailing address7726 Center Blvd Se, Suite 220, Snoqualmie, WA 98065-8748

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Integrated Rehabilitation Group Pc — 195 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Snoqualmie