Provider Demographics
NPI:1699814871
Name:CHENG, ROBERT S (PT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:S
Last Name:CHENG
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2815 EAST LAKE AVE E
Mailing Address - Street 2:#170
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-3086
Mailing Address - Country:US
Mailing Address - Phone:206-322-2842
Mailing Address - Fax:206-322-6232
Practice Address - Street 1:2815 EAST LAKE AVE E
Practice Address - Street 2:#170
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3086
Practice Address - Country:US
Practice Address - Phone:206-322-2842
Practice Address - Fax:206-322-6232
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60130280225100000X
WAPT60130280225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQQ3311Medicare ID - Type Unspecified