Active NPI
James Chacko, DO
- Physical Medicine & Rehabilitation Physician
- Spokane, WA
National Provider Identifier
1285137232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- OP61599430
- Practice address
- 711 S Cowley St
Spokane, WA 99202-1330 - Phone
- (509) 473-6000
- NPI assigned
- Mar 15, 2018
- Reactivated
- Jun 30, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | OP61599430 | WA | Primary |
Addresses
Primary practice location
711 S Cowley St
Spokane, WA 99202-1330
Mailing address
340 Lasso CT
Roseville, CA 95747-9610
Phone (916) 749-0919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260429003422 | WA | Order and Referring Only - Physical Medicine and Rehabilitation | 6103393913 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP61599430 | WA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Autism Learning Services, Inc | Past | 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.
-
- Community/Behavioral Health Agency
- San Mateo, CA
- NPI 1336435734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1285137232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 LASSO CT",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957479610",
"telephone_number": "916-749-0919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 S COWLEY ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021330",
"telephone_number": "509-473-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACKO",
"first_name": "JAMES",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-15",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"deactivation_date": "2022-04-04",
"reactivation_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WA",
"license": "OP61599430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.