Martha Lake Physical Therapy Inc
NPI 1104265412ActiveOrganization· Physical Therapist· Lynnwood, WA
Physical Therapist in Lynnwood, Washington, registered in NPPES in June 2013. The authorized official on file is Jeffrey A. Waldron, DPT, Ceo.
Overview
| NPI | 1104265412 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 19, 2013 |
| Last updated in NPPES | Jun 19, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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