IndividualActive
Jack Teague, P.T.
NPI 1992845192 · Physical Therapist · Bothell, WA
Provider details
- NPI number
- 1992845192
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT00000652 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
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
18107 Bothell Way Ne
Suite 106
Bothell, WA 98011-1900
Phone: (425) 487-3142
Fax: (425) 487-8785
Street-level locationGet directions
Mailing address
9209 126th Ave Ne
Kirkland, WA 98033-5901
Registry dates
- Enumerated
- 2007-02-07
- Last updated
- 2008-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.