Individual provider Active NPI

Akim Nyormoi, OTR/L

  • Physical Therapist
  • Snohomish, WA
National Provider Identifier
1033568241
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60974773 Issued in WA
Practice address
1830 Bickford Ave Ste 209
Snohomish, WA 98290-1750
Phone
(360) 568-7774
Fax
(360) 568-7779
NPI assigned
Jun 8, 2016
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 60974773 WA Primary
Pediatric Occupational Therapist 225XP0200X 168153 KY

Addresses

Primary practice location

1830 Bickford Ave Ste 209
Snohomish, WA 98290-1750

Mailing address

1830 Bickford Ave Ste 209
Snohomish, WA 98290-1750
Phone (360) 568-7774

Other practice location 1

4121 Shelbyville Rd
Suite 7
Louisville, KY 40207-3205
Phone (502) 893-1380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200616001644 WA Practitioner - Occupational Therapist in Private Practice 3072855238 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Snohomish Physical Therapy PLLCGroup PAC ID 3476547100, 3 clinicians

Practice addresses (Care Compare)

1830 Bickford Ave
Suite 209
Snohomish, WA 98290-1750
Phone (360) 568-7774

2000 Hewitt Ave
Suite 115
Everett, WA 98201-3600
Phone (425) 252-3908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60974773WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Rehabilitation PLLC CurrentSince Oct 3, 2022 Accepting new patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Oct 3, 2022 Accepting new patients
Snohomish Physical Therapy PLLC Physical Therapist CurrentSince May 17, 2021 Accepting new patients
Everett Physical Therapy and Sport Performance Center PLLC CurrentSince May 1, 2025 Accepting new patients
Snohomish Physical Therapy PLLC Physical Therapist CurrentSince May 17, 2021 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist Current Accepting new patients
Everett Physical Therapy and Sport Performance Center PLLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Oct 3, 2022 Accepting new patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Oct 3, 2022 Accepting new patients
Theraplace Learning Center Pediatrics Past Accepting new patients

Locations

1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052

22910 Bothell Everett Hwy
Ste 107
Bothell, WA 98021
Phone (425) 686-7656

10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885

2000 Hewitt Ave
Ste 115
Everett, WA 98201
Phone (425) 252-3908

10600 NE 68th St
Ste C
Kirkland, WA 98033
Phone (425) 823-1389

9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327

3719 88th St NE
Ste A
Marysville, WA 98270
Phone (360) 659-9621

12121 Harbour Reach Dr
Ste 100
Mukilteo, WA 98275
Phone (425) 354-5110

1830 Bickford Ave
Ste 209
Snohomish, WA 98290
Phone (360) 568-7774

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1033568241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 BICKFORD AVE STE 209",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901750",
            "telephone_number": "360-568-7774",
            "fax_number": "360-568-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 BICKFORD AVE STE 209",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901750",
            "telephone_number": "360-568-7774",
            "fax_number": "360-568-7779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4121 Shelbyville Rd",
            "address_2": "Suite 7",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402073205",
            "country_code": "US",
            "telephone_number": "502-893-1380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYORMOI",
        "first_name": "AKIM",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-08",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60974773",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KY",
            "license": "168153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.