Lake Sammamish Physical Therapy, PLLC
NPI 1740407816ActiveOrganization· Physical Therapist· Issaquah, WA
Physical Therapist in Issaquah, Washington, registered in NPPES in April 2007. The authorized official on file is Dwan Diaz, Credentialing Coordinator.
Overview
| NPI | 1740407816 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 19, 2007 |
| Last updated in NPPES | Nov 27, 2020 |
| Certified by provider | Nov 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | WA |
| Dietitian, Registered | 133V00000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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