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1720259450

NPI Code Detail

MEDICARE: REDMOND RIDGE PHYSICAL THERAPY PLLC

MEDICARE: REDMOND RIDGE PHYSICAL THERAPY PLLC

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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	DH1213	OTHER	WA	RAILROAD MEDICARE
7	G8872140	OTHER	WA	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7141922	OTHER	WA	DSHS
2	9249165	OTHER	WA	AETNA
4	0232273	OTHER	WA	LABOR & INDUSTRIES
5	613292200	OTHER	WA	OWCP
6	8946931	OTHER	WA	L&I CRIME VICTIMS

General Provider Information

NPI Number	:	1720259450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDMOND RIDGE PHYSICAL THERAPY PLLC

Provider Business Mailing Address
First Line	:	22500 NE MARKETPLACE DR STE 204
Second Line	:
City	:	REDMOND
State	:	WA
Zip	:	98053-2033
Country	:	US
Telephone Number	:	425-836-1034
Fax Number	:	425-836-1037

Provider Business Practice Location Address
First Line	:	22500 NE MARKETPLACE DR
Second Line	:	SUITE 204
City	:	REDMOND
State	:	WA
Zip	:	98053-2033
Country	:	US
Telephone Number	:	425-836-1034
Fax Number	:	425-836-1037

Authorized Official
Title or Position	:	VP/AUTHORIZED OFFICIAL
Name	:	RICHARD BINSTEIN
Credential	:
Telephone Number	:	713-297-7000

Provider Enumeration Date	:	03/20/2008
Last Update Date	:	11/05/2025

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Directions to “REDMOND RIDGE PHYSICAL THERAPY PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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