Individual provider Active NPI

Elis-Ry Sassi

  • Physical Therapist
  • Oak Harbor, WA
National Provider Identifier
1013654862
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
275 SE Cabot Dr
Oak Harbor, WA 98277-3715
Phone
(360) 914-5504
NPI assigned
May 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

275 SE Cabot Dr
Oak Harbor, WA 98277-3715

Mailing address

3407 Eastway Dr
Island Lake, IL 60042-9449
Phone (847) 337-5319

Other practice location 1

521 Green Bay Rd
Wilmette, IL 60091-2726
Phone (847) 724-4864

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219001024 WA Practitioner - Physical Therapist in Private Practice 4688056849 Reassigns benefits to 3 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

Practice addresses (Care Compare)

275 SE Cabot Dr
Suite A5
Oak Harbor, WA 98277-3740
Phone (360) 914-5504

Merit-based Incentive Payment System (MIPS)

Final score
50.93 of 100Reported as group
Quality
66.78
Improvement activities
0
Cost
80.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Orthopaedic Center, Inc, PS CurrentSince Jul 23, 2024 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Jan 15, 2025 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Jan 15, 2025 Accepting new patients
Ross M. Anderson, Anchor Physical Therapy Physical Therapist CurrentSince Jan 2, 2024 Accepting new patients
Washington Orthopaedic Center, Inc., PS Current Accepting new patients
Washington Orthopaedic Center, Inc, PS CurrentSince Jul 23, 2024 Accepting new patients

Locations

1900 Cooks Hill Rd
Centralia, WA 98531
Phone (360) 330-8627

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

6030 Main St SW
Ste D
Lakewood, WA 98499
Phone (253) 347-4747

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

275 SE Cabot Dr
Ste A5
Oak Harbor, WA 98277
Phone (360) 914-5504

201 W North River Dr
Ste 510
Spokane, WA 99201
Phone (509) 323-0066

1407 E 72nd St
Ste A100
Tacoma, WA 98404
Phone (253) 474-7474

Organizations & group practices 6

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": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1013654862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 EASTWAY DR",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600429449",
            "telephone_number": "847-337-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SE CABOT DR",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773715",
            "telephone_number": "360-914-5504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 Green Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmette",
            "state": "IL",
            "postal_code": "600912726",
            "country_code": "US",
            "telephone_number": "847-724-4864",
            "fax_number": "847-853-0179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SASSI",
        "first_name": "ELIS-RY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.