Provider Demographics
NPI:1770987489
Name:MENDAY, REBECCA (PT, DPT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:MENDAY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:PELTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:8750 GREENWOOD AVE N
Mailing Address - Street 2:S1
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103
Mailing Address - Country:US
Mailing Address - Phone:206-782-5789
Mailing Address - Fax:206-782-5794
Practice Address - Street 1:8750 GREENWOOD AVE N
Practice Address - Street 2:S1
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103
Practice Address - Country:US
Practice Address - Phone:206-782-5789
Practice Address - Fax:206-782-5794
Is Sole Proprietor?:No
Enumeration Date:2014-10-09
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60473276225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0332015OtherL & I
WA0332014OtherL & I
WAG8935583Medicare PIN
WAG8935580Medicare PIN
WA0332014OtherL & I
WA0332015OtherL & I
WAG8935584Medicare PIN