Individual provider Active NPI

Jamie T Pilkington, MSPT

  • Physical Therapist
  • Kirkland, WA
National Provider Identifier
1285657395
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008277 Issued in WA
Practice address
10510 Northup Way
Suite 140
Kirkland, WA 98033-7901
Phone
(425) 576-8180
Fax
(425) 828-7840
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 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 PT00008277 WA Primary

Addresses

Primary practice location

10510 Northup Way
Suite 140
Kirkland, WA 98033-7901

Mailing address

11400 SE 6TH St
Ste 105
Bellevue, WA 98004-6419
Phone (425) 576-8180

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080310000117 WA Practitioner - Physical Therapist in Private Practice 3274618624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Esrc PLLCGroup PAC ID 9638254907, 7 clinicians

Practice addresses (Care Compare)

11400 SE 6TH St
Suite 105
Bellevue, WA 98004-6419
Phone (425) 576-8180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00008277WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Esrc PLLC Physical Therapist CurrentSince Apr 1, 2008 Accepting new patients

Locations

11400 SE 6th St
Ste 105
Bellevue, WA 98004
Phone (425) 576-8180

10510 Northup Way
Ste 140
Kirkland, WA 98033
Phone (425) 576-8180

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1285657395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 SE 6TH ST",
            "address_2": "STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046419",
            "telephone_number": "425-576-8180",
            "fax_number": "425-828-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10510 NORTHUP WAY",
            "address_2": "SUITE 140",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337901",
            "telephone_number": "425-576-8180",
            "fax_number": "425-828-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILKINGTON",
        "first_name": "JAMIE",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.