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

Theodore Su, DPT

Individual provider Physical Therapist · NPI 1336814649

Theodore Su, DPT is a Physical Therapist in Private Practice in Bellevue, Washington. Qualified in 2021, 5 years ago. Practices with Everett Physical Therapy and Sport Performance Center PLLC, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2021
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

13425 SE 30th St Ste 2C
Bellevue, WA 98005-4450
Phone: (425) 800-4488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 431 River St Ste 4, Waltham, MA 02453-5483 — (781) 314-1000

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT61382998 (WA)

Record details

NPI number1336814649
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 10, 2021
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023
Mailing address1300 W Sam Houston Pkwy S Ste 300, Houston, TX 77042-2453

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Everett Physical Therapy And Sport Performance Center Pllc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bellevue