Provider Demographics
NPI:1447047477
Name:EVERETT PHYSICAL THERAPY AND SPORT PERFORMANCE CENTER PLLC
Entity type:Organization
Organization Name:EVERETT PHYSICAL THERAPY AND SPORT PERFORMANCE CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:22910 BOTHELL EVERETT HWY STE 107
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-9327
Mailing Address - Country:US
Mailing Address - Phone:425-686-7656
Mailing Address - Fax:
Practice Address - Street 1:22910 BOTHELL EVERETT HWY STE 107
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-9327
Practice Address - Country:US
Practice Address - Phone:425-686-7656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies