Evergreen Physical Therapy Center & Pilates Studio – Physical Therapy Clinic/Center, NPI 1053345017

Evergreen Physical Therapy Center & Pilates Studio is a healthcare provider. based in Mill creek, Washington. specializing in Physical Therapy Clinic/Center. The NPI Number for Evergreen Physical Therapy Center & Pilates Studio is 1053345017

Main info

Organization
Name
Evergreen Physical Therapy Center & Pilates Studio
NPI
1053345017
Phone
(425) 316-8046
Address
4220 132ND ST SE
Authorized Official
MICHAEL SHANNON O'KELLEY PRESIDENT/OWNER MPT
Enumeration Date
10 July 2006
Last Update Date
28 December 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Evergreen Physical Therapy Center & Pilates Studio

  • 4220, 132nd Street Southeast, Mill Creek, Snohomish County, Washington, 98012, United States

    SUITE 101

    MILL CREEK, WA 980128999

    Phone: (425) 316-8046

    Fax: (425) 338-9637

    Type: Mailing

  • Evergreen Way, Fairmont, Everett, Snohomish County, Washington, 98204, United States

    EVERETT, WA 982032826

    Phone: (425) 252-1642

    Fax: (425) 258-1824

    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.

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 98012)

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Reviews

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Frequently asked questions

How do payers reference Evergreen Physical Therapy Center & Pilates Studio?
For Evergreen Physical Therapy Center & Pilates Studio, use NPI 1053345017 as the unique 10-digit identifier.
Is Evergreen Physical Therapy Center & Pilates Studio shown as active in public data?
Registry records indicate Evergreen Physical Therapy Center & Pilates Studio maintains an active NPI.
What clinical focus is listed for Evergreen Physical Therapy Center & Pilates Studio?
At a glance, Evergreen Physical Therapy Center & Pilates Studio is tied to Physical Therapy Clinic/Center. Clinical services aligned with this taxonomy classification.
Is Evergreen Physical Therapy Center & Pilates Studio associated with Mill Creek?
Public fields place Evergreen Physical Therapy Center & Pilates Studio around Mill Creek, Washington. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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