MICHELLE LUNDGREN (DPT) – Physical Therapist, NPI 1487265377

MICHELLE LUNDGREN (DPT) is a healthcare provider. based in Sammamish, Washington. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. PT61037083 (WA). The NPI Number for MICHELLE LUNDGREN (DPT) is 1487265377

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE LUNDGREN (DPT)
NPI
1487265377
Phone
(425) 391-4488
Address
2850 228TH AVE SE STE B
Enumeration Date
13 August 2020
Last Update Date
9 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4253914488
Graduation Year
2020 (6 years ago)
PAC ID
8022436971
Group Practice PAC ID
1951391762
Professional Enrollment ID
I20200909003384
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

Provider Addresses for MICHELLE LUNDGREN (DPT)

  • 2850 228TH AVE SE STE B

    SAMMAMISH, WA 980759328

    Phone: (425) 391-4488

    Fax: (425) 391-8287

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200909003384IPhysical Therapist In Private PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98075)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951391762View full group profile
NameSpecialtyState
-WA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

Where can patients find MICHELLE LUNDGREN (DPT)'s NPI?
You can confirm MICHELLE LUNDGREN (DPT) with NPI 1487265377; it appears in the national provider directory.
Is MICHELLE LUNDGREN (DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MICHELLE LUNDGREN (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for MICHELLE LUNDGREN (DPT). Clinical services aligned with this taxonomy classification.
What location shows for MICHELLE LUNDGREN (DPT)?
We surface Sammamish, Washington for MICHELLE LUNDGREN (DPT) based on available NPPES addresses.
Is MICHELLE LUNDGREN (DPT) a real provider?
This page reflects official NPPES data for NPI 1487265377. Always confirm identity and privileges with the practice and licensing boards.

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