Individual provider Active NPI

Ezra James Sauter, OTR

  • Occupational Therapist
  • Kent, WA
National Provider Identifier
1164913422
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
60704653 Issued in WA
Practice address
319 Washington Ave S
Kent, WA 98032-5767
Phone
(253) 850-9780
NPI assigned
May 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 60704653 WA Primary

Addresses

Primary practice location

319 Washington Ave S
Kent, WA 98032-5767

Mailing address

5005 S Hudson St
Seattle, WA 98118-2090
Phone (612) 747-9937

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211118002850 WA Practitioner - Occupational Therapist in Private Practice 6901295617 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physioworks Silverdale PLLCGroup PAC ID 3971908484, 7 clinicians

Practice addresses (Care Compare)

4723 42ND Ave SW
Suite E128
Seattle, WA 98116-4507
Phone (206) 705-9372

9399 Ridgetop Blvd NW
Suite 101
Silverdale, WA 98383-8580
Phone (360) 900-2626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60704653WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physioworks Silverdale PLLC CurrentSince Aug 14, 2021 Accepting new patients
Rehab Expert & Consulting LLC CurrentSince Mar 21, 2022 Accepting new patients

Locations

319 Washington Ave S
Kent, WA 98032
Phone (253) 650-9780

9399 Ridgetop Blvd NW
Ste 101
Silverdale, WA 98383
Phone (360) 516-1210

9399 Ridgetop Blvd NW
Ste 102
Silverdale, WA 98383
Phone (360) 900-2626

Organizations & group practices 3

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": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1164913422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 S HUDSON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182090",
            "telephone_number": "612-747-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 WASHINGTON AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325767",
            "telephone_number": "253-850-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUTER",
        "first_name": "EZRA",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60704653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.