Bonney Lake Physical Therapy and Hand Rehab, PLLC
NPI 1558509786ActiveOrganization· Physical Therapist· Bonney Lake, WA
Physical Therapist in Bonney Lake, Washington, registered in NPPES in January 2009. The authorized official on file is Michael Andrew Egbert, PT, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558509786 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 26, 2009 |
| Last updated in NPPES | Jan 19, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT5418 | WA |
| Physical Therapist, Orthopedic | 2251X0800X | PT5418 | WA |
| Occupational Therapist, Hand | 225XH1200X | OT2499 | WA |
| Occupational Therapist, Physical Rehabilitation | 225XP0019X | OT2499 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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