Healthcare Provider Details

I. General information

NPI: 1972417772
Provider Name (Legal Business Name): KOLLAR PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 108TH AVE NE STE N-100
BELLEVUE WA
98004-5771
US

IV. Provider business mailing address

225 108TH AVE NE STE N-100
BELLEVUE WA
98004-5771
US

V. Phone/Fax

Practice location:
  • Phone: 425-381-0029
  • Fax:
Mailing address:
  • Phone: 425-381-0029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: VICTOR KOLLAR
Title or Position: CEO, OWNER
Credential: DPT
Phone: 425-381-0029