JEANETTE LILLIAN LUNDBERG (PT) – Physical Therapist, NPI 1891785804

JEANETTE LILLIAN LUNDBERG (PT) is a healthcare provider. based in Mount vernon, Washington. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. PT00000784 (WA). The NPI Number for JEANETTE LILLIAN LUNDBERG (PT) is 1891785804

Main info

Female
54 Years Of Experience
Accepts Medicare Assignment
Name
JEANETTE LILLIAN LUNDBERG (PT)
NPI
1891785804
Phone
(360) 428-6677
Address
PO BOX 1789
Enumeration Date
21 October 2005
Last Update Date
5 February 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604286677
Graduation Year
1972 (54 years ago)
PAC ID
9537224753
Group Practice PAC ID
0345583290
Professional Enrollment ID
I20090223000017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JEANETTE LILLIAN LUNDBERG (PT)

  • Mount Vernon Post Office, South 1st Avenue, Parkside, City of Mount Vernon, Westchester County, New York, 10550, United States

    MOUNT VERNON, WA 982731789

    Phone: (360) 428-6677

    Fax: (360) 428-7635

    Type: Mailing

  • 300, East College Way, Mount Vernon, Skagit County, Washington, 98273, United States

    SUITE B

    MOUNT VERNON, WA 982735429

    Phone: (360) 428-6677

    Fax: (369) 428-7635

    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.

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

Insurance plans in this area (ZIP 98273)

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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: 0345583290View full group profile
NameSpecialtyState
-WA

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Frequently asked questions

What is the 10-digit NPI for JEANETTE LILLIAN LUNDBERG (PT)?
JEANETTE LILLIAN LUNDBERG (PT) — NPI 1891785804 — is the standard way to identify this listing.
Is JEANETTE LILLIAN LUNDBERG (PT) listed as active for patients and plans?
The listing shows JEANETTE LILLIAN LUNDBERG (PT) as active in the NPI system.
What is JEANETTE LILLIAN LUNDBERG (PT)'s specialty?
The listing groups JEANETTE LILLIAN LUNDBERG (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect JEANETTE LILLIAN LUNDBERG (PT) on a map?
Expect Mount Vernon, Washington as a primary anchor for JEANETTE LILLIAN LUNDBERG (PT) unless the record lists multiple sites.
Is the information about JEANETTE LILLIAN LUNDBERG (PT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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