Unknown Individual – Physical Therapist, NPI 1609233527

Unknown Individual is a healthcare provider. based in Rochester, Washington. specializing in Physical Therapist. They hold a License No. PT00007020 (WA). The NPI Number for Unknown Individual is 1609233527

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1609233527
Phone
(360) 870-3383
Address
11202 INDEPENDENCE RD SW
Deactivation Date
15 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3607096221
Graduation Year
1995 (31 years ago)
PAC ID
0446558001
Group Practice PAC ID
2365337508
Professional Enrollment ID
I20160414000988
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 11202 INDEPENDENCE RD SW

    ROCHESTER, WA 985799379

    Phone: (360) 870-3383

    Type: Mailing

  • 3901 CAPITAL MALL DR SW

    OLYMPIA, WA 985028654

    Phone: (360) 709-6221

    Type: Location

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes9593$0
97530Therapy procedure using functional activities9593$0
97161Evaluation for physical therapy, typically 20 minutes5656$0
97164Re-evaluation for physical therapy, typically 20 minutes3939$0
View full utilization report →

Insurance plans in this area (ZIP 98579)

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Provider's Procedures

Unknown Individual performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYWA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes748127

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: 2365337508View full group profile
NameSpecialtyState
Orthopedic SurgeryWA
A N E S T H E S I O L O G YNH
Physician AssistantWA
-TX
A N E S T H E S I O L O G YWA
Interventional Pain Management, Physical Medicine And RehabilitationWA
-WA
-WA
Physician AssistantWA
Orthopedic SurgeryWA

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1609233527 for Unknown Individual, then check state licensing separately.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Physical Therapist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Rochester, Washington may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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