MEDICARE: GATEWAY MOTION PHYSICAL THERAPY AND WELLNESS

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1669265898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GATEWAY MOTION PHYSICAL THERAPY AND WELLNESS

Provider Business Mailing Address
First Line	:	26477 72ND AVE NW STE 108
Second Line	:
City	:	STANWOOD
State	:	WA
Zip	:	98292-6219
Country	:	US
Telephone Number	:	360-776-9583
Fax Number	:	360-363-2639

Provider Business Practice Location Address
First Line	:	26477 72ND AVE NW STE 108
Second Line	:
City	:	STANWOOD
State	:	WA
Zip	:	98292-6219
Country	:	US
Telephone Number	:	360-776-9583
Fax Number	:	360-363-2639

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ERIKA GENEROSO
Credential	:	DPT
Telephone Number	:	425-652-4594

Provider Enumeration Date	:	05/28/2025
Last Update Date	:	03/02/2026

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Directions to “GATEWAY MOTION PHYSICAL THERAPY AND WELLNESS ” Practice Location

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