Pine Lake Physical Therapy & Sports Rehab, P.s.
NPI 1356471684 · Orthopedic Physical Therapist · Sammamish, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pine Lake Physical Therapy & Sports Rehab, P.s. is a Orthopedic Physical Therapist organization in Sammamish, WA (NPI 1356471684).
Provider details
- NPI number
- 1356471684
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Ronald Enyeart, Owner(425) 391-4488
- License
- PT00003047 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2009-03-19
Frequently asked questions
- What is Pine Lake Physical Therapy & Sports Rehab, P.s.'s NPI number?
- Pine Lake Physical Therapy & Sports Rehab, P.s.'s National Provider Identifier (NPI) is 1356471684, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Lake Physical Therapy & Sports Rehab, P.s.?
- Pine Lake Physical Therapy & Sports Rehab, P.s. is classified in the NPPES registry as Orthopedic Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Pine Lake Physical Therapy & Sports Rehab, P.s. located?
- Pine Lake Physical Therapy & Sports Rehab, P.s.'s practice location on file with NPPES is 2850 228th Ave Se, Sammamish, WA 98075-9301.
- What is Pine Lake Physical Therapy & Sports Rehab, P.s.'s phone number?
- The practice phone number listed in the NPPES registry for Pine Lake Physical Therapy & Sports Rehab, P.s. is (425) 391-4488.
- Does Pine Lake Physical Therapy & Sports Rehab, P.s. accept Medicare?
- Pine Lake Physical Therapy & Sports Rehab, P.s. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pine Lake Physical Therapy & Sports Rehab, P.s.?
- The authorized official listed on Pine Lake Physical Therapy & Sports Rehab, P.s.'s NPPES record is Ronald Enyeart, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Lake Physical Therapy & Sports Rehab, P.s.'s NPI active?
- Yes — Pine Lake Physical Therapy & Sports Rehab, P.s.'s NPI (1356471684) is active in the NPPES registry as of the last update on 2009-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.