Individual provider Active NPI

Suhas S Sakhalkar, PT RN

  • Physical Therapist
  • Vancouver, WA
National Provider Identifier
1184910770
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60478607 Issued in WA
Practice address
505 NW 72ND Cir
Vancouver, WA 98665-8460
Phone
(360) 360-0600
NPI assigned
Jun 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN61342438 WA
Physical Therapist 225100000X 60568 OR
Physical Therapist 225100000X PT60478607 WA Primary

Addresses

Primary practice location

505 NW 72ND Cir
Vancouver, WA 98665-8460

Mailing address

505 NW 72ND Cir
Vancouver, WA 98665-8460
Phone (360) 360-0600

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN61342438WAMDRegistered Nurse
60568ORMDPhysical Therapist
PT60478607WAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1184910770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 NW 72ND CIR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658460",
            "telephone_number": "360-360-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NW 72ND CIR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658460",
            "telephone_number": "360-360-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKHALKAR",
        "first_name": "SUHAS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PT RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61342438",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "60568",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60478607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.