Individual provider Active NPI

Isaac Daniel Chirino, PT, DPT

  • Physical Therapist
  • Renton, WA
National Provider Identifier
1114523032
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61106960 Issued in WA
Practice address
451 Duvall Ave NE Ste 200
Renton, WA 98059-4675
Phone
(425) 235-9505
NPI assigned
Dec 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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 61106960 WA Primary

Addresses

Primary practice location

451 Duvall Ave NE Ste 200
Renton, WA 98059-4675

Mailing address

451 Duvall Ave NE Ste 200
Renton, WA 98059-4675
Phone (425) 235-9505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230306002827 AZ Practitioner - Physical Therapist in Private Practice 9638586159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bodycentral Physical Therapy PCGroup PAC ID 2466348701, 43 clinicians

Practice addresses (Care Compare)

1040 S Harrison Rd
Suite 100
Tucson, AZ 85748-6601
Phone (520) 325-4002

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61106960WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodycentral Physical Therapy PC CurrentSince Jan 19, 2025 Accepting new patients
Strength Training Inc Physical Therapist CurrentSince Mar 10, 2023 Accepting new patients
Bodycentral Physical Therapy P C CurrentSince Jan 19, 2025 Accepting new patients
R & R Physical Therapy Inc Physical Therapist PastSince Mar 15, 2017 Accepting new patients
Strength Training Inc Past Accepting new patients

Locations

17233 N Holmes Blvd
Ste 1650
Phoenix, AZ 85053
Phone (602) 547-1836

14802 N Del Webb Blvd
Sun City, AZ 85351
Phone (623) 977-2775

1991 E Ajo Way
Ste 149
Tucson, AZ 85713
Phone (520) 485-5454

3124 N Swan Rd
Tucson, AZ 85712
Phone (520) 276-1274

1040 S Harrison Rd
Ste 100
Tucson, AZ 85748
Phone (205) 357-1174

3970 W 24th St
Ste 108
Yuma, AZ 85364
Phone (602) 300-9464

11361 S Foothills Blvd
Ste 3
Yuma, AZ 85367
Phone (928) 342-7234

Organizations & group practices 5

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": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1114523032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 DUVALL AVE NE STE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594675",
            "telephone_number": "425-235-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 DUVALL AVE NE STE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594675",
            "telephone_number": "425-235-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRINO",
        "first_name": "ISAAC",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61106960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.