Provider Demographics
NPI:1164539052
Name:REIMER, RONN L (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MR
First Name:RONN
Middle Name:L
Last Name:REIMER
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13930 NE 178TH PL STE 112
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-3571
Mailing Address - Country:US
Mailing Address - Phone:425-939-2194
Mailing Address - Fax:
Practice Address - Street 1:13930 NE 178TH PL STE 112
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-3571
Practice Address - Country:US
Practice Address - Phone:425-939-2194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT000040022251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8394173Medicaid
WAAB35570Medicare ID - Type Unspecified