Individual provider Active NPI

Breyndon Kekoa Shigeo Nakamura, DPT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1013825488
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT70168455 Issued in WA
Practice address
5620 Rainier Ave S # 102
Seattle, WA 98118-2498
Phone
(206) 535-8061
Fax
(206) 535-8064
NPI assigned
Aug 28, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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 PT70168455 WA Primary

Addresses

Primary practice location

5620 Rainier Ave S # 102
Seattle, WA 98118-2498

Mailing address

5620 Rainier Ave S # 102
Seattle, WA 98118-2498
Phone (206) 535-8061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1013825488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 RAINIER AVE S # 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182498",
            "telephone_number": "206-535-8061",
            "fax_number": "206-535-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 RAINIER AVE S # 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182498",
            "telephone_number": "206-535-8061",
            "fax_number": "206-535-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAMURA",
        "first_name": "BREYNDON",
        "middle_name": "KEKOA SHIGEO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT70168455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.