Individual provider Active NPI

Erik P Waterland, DPT

  • Physical Therapist
  • Tacoma, WA
National Provider Identifier
1073628152
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00009854 Issued in WA
Practice address
1807 N Stevens St
Tacoma, WA 98406-3829
Phone
(253) 396-9001
Fax
(253) 396-1231
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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 PT32174 CA
Physical Therapist 225100000X PT00009854 WA Primary

Addresses

Primary practice location

1807 N Stevens St
Tacoma, WA 98406-3829

Mailing address

2312 N 30TH St
#101
Tacoma, WA 98403-3356
Phone (253) 396-9001

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32174CAMDLicensed Psychiatric Technician
PT32174CAMDPhysical Therapist
PT00009854WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gigi Inc Physical Therapist PastSince Jul 3, 2018 Accepting new patients

Organizations & group practices 1

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1073628152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 N 30TH ST",
            "address_2": "#101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033356",
            "telephone_number": "253-396-9001",
            "fax_number": "253-396-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 N STEVENS ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984063829",
            "telephone_number": "253-396-9001",
            "fax_number": "253-396-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERLAND",
        "first_name": "ERIK",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT32174",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.