Individual provider Active NPI

Nathaniel Rapajon Caoagas, PT

  • Physical Therapist
  • Yakima, WA
National Provider Identifier
1245471655
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60056316 Issued in WA
Practice address
702 N 16TH Ave
Yakima, WA 98902-1803
Phone
(509) 853-2510
NPI assigned
Mar 13, 2009
Last updated
Mar 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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 PT60056316 WA Primary
Physical Therapist 225100000X 5808 OR

Addresses

Primary practice location

702 N 16TH Ave
Yakima, WA 98902-1803

Mailing address

702 N 16TH Ave
Yakima, WA 98902-1803
Phone (509) 853-2510

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5808ORMDDentist
PT60056316WAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236902400000",
    "number": "1245471655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N 16TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021803",
            "telephone_number": "509-853-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N 16TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021803",
            "telephone_number": "509-853-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAOAGAS",
        "first_name": "NATHANIEL",
        "middle_name": "RAPAJON",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60056316",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.