JAMIE WANG (DPT) – Physical Therapist, NPI 1629800388

JAMIE WANG (DPT) is a healthcare provider. based in Mountlake terrace, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 61553325 (WA). The NPI Number for JAMIE WANG (DPT) is 1629800388

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
JAMIE WANG (DPT)
NPI
1629800388
Phone
Not provided
Address
6912 220TH ST SW STE 205
Enumeration Date
20 August 2024
Last Update Date
20 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4256501900
Graduation Year
2024 (2 years ago)
PAC ID
3375074701
Group Practice PAC ID
4284163353
Professional Enrollment ID
I20241009001008
Address ID
WA980432187MO6808XSWXX406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for JAMIE WANG (DPT)

  • 6912 220TH ST SW STE 205

    MOUNTLAKE TERRACE, WA 980432169

    Phone:

    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: 2024-10-09

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
I20241009001008IPhysical 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 98043)

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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: 4284163353View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

What NPI should I save for JAMIE WANG (DPT)?
Save NPI 1629800388 if you need a stable reference for JAMIE WANG (DPT).
Is JAMIE WANG (DPT) active in the national directory?
JAMIE WANG (DPT)'s public NPI profile is in an active state.
What field does JAMIE WANG (DPT) work in?
You can think of JAMIE WANG (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for JAMIE WANG (DPT)?
We surface Mountlake Terrace, Washington for JAMIE WANG (DPT) based on available NPPES addresses.
How can I contact JAMIE WANG (DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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