Mountlake Sports & Physical Therapy Ps
NPI 1528331402 · Physical Therapist · Everett, WA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mountlake Sports & Physical Therapy Ps is a Physical Therapist organization in Everett, WA (NPI 1528331402).
Provider details
- NPI number
- 1528331402
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jamie Malijan, Clinical Manager(425) 379-8120
- License
- PT60178380 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
14 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
- 2012-02-22
- Last updated
- 2012-02-22
Frequently asked questions
- What is Mountlake Sports & Physical Therapy Ps's NPI number?
- Mountlake Sports & Physical Therapy Ps's National Provider Identifier (NPI) is 1528331402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountlake Sports & Physical Therapy Ps?
- Mountlake Sports & Physical Therapy Ps is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mountlake Sports & Physical Therapy Ps located?
- Mountlake Sports & Physical Therapy Ps's practice location on file with NPPES is 9505 19th Ave Se, Everett, WA 98208-3853.
- What is Mountlake Sports & Physical Therapy Ps's phone number?
- The practice phone number listed in the NPPES registry for Mountlake Sports & Physical Therapy Ps is (425) 379-8120.
- Does Mountlake Sports & Physical Therapy Ps accept Medicare?
- Mountlake Sports & Physical Therapy Ps 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 Mountlake Sports & Physical Therapy Ps?
- The authorized official listed on Mountlake Sports & Physical Therapy Ps's NPPES record is Jamie Malijan, Clinical Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountlake Sports & Physical Therapy Ps's NPI active?
- Yes — Mountlake Sports & Physical Therapy Ps's NPI (1528331402) is active in the NPPES registry as of the last update on 2012-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.