Mark J. Bouma, DPT
NPI 1659381069ActiveIndividual· Physical Therapist· Mercer Island, WA
Physical Therapist (DPT) with Lake Washington Physical Therapy LLC, practicing in Mercer Island, Washington. Medicare paid $22,082 for services to 50 patients in 2024.
Overview
| NPI | 1659381069 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Aug 8, 2006 |
| Last updated in NPPES | Jan 21, 2021 |
| Certified by provider | Jan 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT00010212 | 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 Practitioner - Physical Therapist in Private Practice (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 50 |
|---|---|
| Services billed | 811 across 9 procedure codes |
| Paid by Medicare | $22,082 |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Lake Washington Physical Therapy LLCSeattle, WA · 56 clinicians
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