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

Raphael Enrico

Individual provider Physical Therapist · NPI 1073349304

Raphael Enrico is a Physical Therapist in Private Practice in Federal Way, Washington. Graduated from University of Washington School of Medicine in 2024, 2 years ago. Practices with Kitsap Physical Therapy and Sports Clinic Ps Inc, a 141-clinician group and accepts Medicare assignment.

Years since qualifying
2
Trained at
University of Washington School of Medicine
In the registry since
2024
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Practice location Address checks out

505 S 336th St Ste 140
Federal Way, WA 98003-5946
Phone: (253) 874-6621
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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 number1073349304
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 12, 2024
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Kitsap Physical Therapy And Sports Clinic Ps Inc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Federal Way