IndividualActive
Tristan Runyon
NPI 1669188967 · Physical Therapy Assistant · Lake Stevens, WA
Provider details
- NPI number
- 1669188967
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- P161362588 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
9514 4th St Ne Unit 101
Lake Stevens, WA 98258-1937
Phone: (425) 397-2327
Street-level locationGet directions
Mailing address
102 140th St Nw
Tulalip, WA 98271-6795
Registry dates
- Enumerated
- 2023-01-30
- Last updated
- 2023-01-30
- Certified
- 2023-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.