MEDICARE: MUSUBI PT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist

General Provider Information

NPI Number	:	1922931450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUSUBI PT LLC

Provider Business Mailing Address
First Line	:	500 W OLYMPIC PL APT 304
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98119-3650
Country	:	US
Telephone Number	:	808-345-5493
Fax Number	:

Provider Business Practice Location Address
First Line	:	4027 LEARY WAY NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-5045
Country	:	US
Telephone Number	:	808-345-5493
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	JENNIFER IYO
Credential	:	DPT
Telephone Number	:	808-345-5493

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “MUSUBI PT LLC ” Practice Location

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