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

Samuel Rodriguez Mora, DPT

Individual provider Physical Therapist · NPI 1548099914

Samuel Rodriguez Mora, DPT is a Physical Therapist in Private Practice in Puyallup, Washington. Qualified in 2024, 2 years ago. Practices with Northwest Center for Sports Medicine and Physical Therapy Inc, a 87-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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

311 River Rd Ste 202
Puyallup, WA 98371-4113
Phone: (253) 904-8137
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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 number1548099914
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 1, 2024
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 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 schoolOTHER
Graduated 2024 (2 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

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