Active NPI
Cassius Ekhator
- Physical Therapy Assistant
- Seattle, WA
National Provider Identifier
1285963744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 766
- Practice address
- 13530 Linden Ave N Apt 100
Seattle, WA 98133-7552 - Phone
- (281) 658-2003
- NPI assigned
- Dec 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | P1 60033015 | WA | |
| Physical Therapy Assistant | 225200000X | 766 | CT | Primary |
Addresses
Primary practice location
13530 Linden Ave N Apt 100
Seattle, WA 98133-7552
Mailing address
13530 Linden Ave N Apt 100
Seattle, WA 98133-7552
Phone (281) 658-2003
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
| License | State | Type | Specialty |
|---|---|---|---|
| P1 60033015 | WA | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1285963744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13530 LINDEN AVE N APT 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981337552",
"telephone_number": "281-658-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13530 LINDEN AVE N APT 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981337552",
"telephone_number": "281-658-2003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKHATOR",
"first_name": "CASSIUS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-12",
"last_updated": "2021-09-03",
"certification_date": "2021-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "WA",
"license": "P1 60033015",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CT",
"license": "766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.