Individual provider Active NPI

Rayson Takeshi Sorayama, PT

  • Physical Therapist
  • Mountlake Terrace, WA
National Provider Identifier
1013648724
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
24000 Van Ry Blvd Apt 209
Mountlake Terrace, WA 98043-5462
Phone
(866) 370-8206
NPI assigned
Jun 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

24000 Van Ry Blvd Apt 209
Mountlake Terrace, WA 98043-5462

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831003416 WA Practitioner - Physical Therapist in Private Practice 1557745098 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Luna Care Physical Therapy LLCGroup PAC ID 7416283817, 161 clinicians
Pacmed ClinicsGroup PAC ID 2466350657, 211 clinicians
Swedish Health ServicesGroup PAC ID 9537072814, 384 clinicians

Practice addresses (Care Compare)

Bellevue, WA 98006
Phone (866) 525-3175

1200 12TH Ave S
Seattle, WA 98144-2712
Phone (206) 326-2400

800 5TH Ave
Suite P100
Seattle, WA 98104-3176
Phone (206) 320-3351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jun 7, 2022 Accepting new patients
Swedish Health Services CurrentSince Jun 29, 2023 Accepting new patients
Swedish Health Services Physical Therapist CurrentSince Jun 29, 2023 Accepting new patients
Pacmed Clinics CurrentSince Nov 11, 2024 Accepting new patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Apr 20, 2023 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist Current Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Apr 20, 2023 Accepting new patients
Pacmed Clinics Current Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jun 7, 2022 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

13555 SE 36th St
Ste 119
Bellevue, WA 98006

13555 SE 36th St
Ste 100
Bellevue, WA 98006

19119 North Creek Pkwy
Ste 107
Bothell, WA 98011
Phone (425) 486-8800

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

3105 Alderwood Mall Blvd
Ste H
Lynnwood, WA 98036
Phone (425) 582-5902

220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101

1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400

800 5th Ave
Ste P100
Seattle, WA 98104
Phone (206) 320-2700

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1013648724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24000 VAN RY BLVD APT 209",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980435462",
            "telephone_number": "866-370-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORAYAMA",
        "first_name": "RAYSON",
        "middle_name": "TAKESHI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.