Bellevue Sports Medicine Clinic Inc
NPI 1124039870ActiveOrganization· Physical Therapist· Bellevue, WA
Physical Therapist in Bellevue, Washington, registered in NPPES in August 2006. The authorized official on file is Keely J. Kowalchuk, PT, Director.
Overview
| NPI | 1124039870 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 10, 2006 |
| Last updated in NPPES | Dec 5, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT00010137 | WA |
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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