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Lake Sammamish Physical Therapy, Pllc

Physical Therapist in Issaquah, WA · enumerated 2007 · authorized official Dwan Diaz, Credentialing Coordinator.

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

National Provider Identifier

1740407816

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Sammamish Physical Therapy, Pllc
Other name <Unavail>
Practice address 6520 226th Pl Se Ste 201, Issaquah, WA, 98027
Phone (425) 391-5504
Fax (425) 391-3670
Enumeration date Apr 19, 2007
Last updated in NPPES Nov 27, 2020

Taxonomy & classification

133V00000X Registered Dietitian Dietary & Nutritional Service Providers Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

Authorized official

Name Dwan Diaz
Title Credentialing Coordinator
Phone (425) 450-9474

Other identifiers

Identifier Type State Issuer
0039830 Other WA LABOR AND INDUSTRY

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.

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Frequently asked questions

What is the NPI number for Lake Sammamish Physical Therapy, Pllc?
The NPI for Lake Sammamish Physical Therapy, Pllc is 1740407816, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lake Sammamish Physical Therapy, Pllc?
NPPES lists Dwan Diaz (Credentialing Coordinator) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-27.