NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mountlake Sports & Physical Therapy Ps

Physical Therapist in Everett, WA · enumerated 2012 · authorized official Jamie Malijan, Clinical Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528331402

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Mountlake Sports & Physical Therapy Ps
Practice address 9505 19th Ave Se, 101, Everett, WA, 98208
Phone (425) 379-8120
Fax (425) 338-1789
Enumeration date Feb 22, 2012
Last updated in NPPES Feb 22, 2012

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT00003917 (WA) Primary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT60178380 (WA) Secondary
225700000X Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License MA00018299 (WA) Secondary
225700000X Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License MA00015079 (WA) Secondary

Authorized official

Name Jamie Malijan
Title Clinical Manager
Phone (425) 379-8120

Other identifiers

Identifier Type State Issuer
7084650 Medicaid WA -
0151396 Other WA DEPARTMENT OF LABOR & INDUSTRIES

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Mountlake Sports & Physical Therapy Ps?
The NPI for Mountlake Sports & Physical Therapy Ps is 1528331402, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Mountlake Sports & Physical Therapy Ps?
NPPES lists Jamie Malijan (Clinical Manager) as the authorized official for this organization.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-02-22.