MEDICARE: SEATTLE REHAB SPECIALISTS, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	2251X0800X	Orthopedic Physical Therapist
3	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1780114033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEATTLE REHAB SPECIALISTS, INC.

Provider Business Mailing Address
First Line	:	6108 ROOSEVELT WAY NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-6613
Country	:	US
Telephone Number	:	206-524-4977
Fax Number	:	206-524-4340

Provider Business Practice Location Address
First Line	:	6108 ROOSEVELT WAY NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-6613
Country	:	US
Telephone Number	:	206-524-4977
Fax Number	:	206-524-4340

Authorized Official
Title or Position	:	CEO
Name	:	KELLY VANHOVE
Credential	:	PT, DPT, MS, ATC
Telephone Number	:	602-300-9273

Provider Enumeration Date	:	06/19/2017
Last Update Date	:	12/04/2025

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