Individual provider Active NPI

Enrico Tejo Legaspi, DPT

  • Physical Therapist
  • Lakewood, WA
National Provider Identifier
1326383258
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60740770 Issued in WA
Practice address
9514 Gravelly Lake Dr SW Ste W18
Lakewood, WA 98499-1514
Phone
(253) 433-7140
NPI assigned
Dec 4, 2012
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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 PT 39644 CA
Physical Therapist 225100000X PT60740770 WA Primary

Addresses

Primary practice location

9514 Gravelly Lake Dr SW Ste W18
Lakewood, WA 98499-1514

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424

Other practice location 1

732 Lebo Blvd
Bremerton, WA 98310-3325
Phone (360) 479-8477

Other practice location 2

2602 Westridge Ave W
Apt D201
Tacoma, WA 98466-8244
Phone (253) 777-8812

Other practice location 3

6406 78th Avenue Ct W Apt D201
University Place, WA 98467-3938
Phone (253) 777-8812

Other practice location 4

6406 78th Avenue Ct W
University Place, WA 98467-3938
Phone (253) 777-8812

Other names 1

  • Dr. Xander Tejo Legaspi Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170607002798 WA Practitioner - Physical Therapist in Private Practice 7517110398 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3560 Bridgeport Way W
1B a
University Place, WA 98466-4446
Phone (253) 256-3311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 39644CAMDPhysical Therapist
PT60740770WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Xander Legaspi, PLLC Physical Therapist CurrentSince May 18, 2019 Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist CurrentSince Apr 19, 2021 Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist PastSince Apr 19, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

732 Lebo Blvd
Bremerton, WA 98310
Phone (360) 479-8477

4411 Point Fosdick Dr
Ste 101
Gig Harbor, WA 98335
Phone (253) 851-7472

9514 Gravelly Lake Dr SW
Ste W18
Lakewood, WA 98499
Phone (253) 433-7140

3560 Bridgeport Way W
#1
University Place, WA 98466
Phone (253) 256-3311

3560 Bridgeport Way W
Ste 1BA
University Place, WA 98466
Phone (253) 256-3311

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1326383258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9514 GRAVELLY LAKE DR SW STE W18",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991514",
            "telephone_number": "253-433-7140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "732 Lebo Blvd",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983103325",
            "country_code": "US",
            "telephone_number": "360-479-8477",
            "fax_number": "951-973-7216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2602 Westridge Ave W",
            "address_2": "Apt D201",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984668244",
            "country_code": "US",
            "telephone_number": "253-777-8812",
            "fax_number": "253-777-8812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6406 78th Avenue Ct W Apt D201",
            "address_purpose": "LOCATION",
            "city": "University Place",
            "state": "WA",
            "postal_code": "984673938",
            "country_code": "US",
            "telephone_number": "253-777-8812",
            "fax_number": "253-777-8812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6406 78th Avenue Ct W",
            "address_purpose": "LOCATION",
            "city": "University Place",
            "state": "WA",
            "postal_code": "984673938",
            "country_code": "US",
            "telephone_number": "253-777-8812",
            "fax_number": "253-777-8812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGASPI",
        "first_name": "ENRICO",
        "middle_name": "TEJO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-04",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 39644",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60740770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XANDER",
            "last_name": "LEGASPI",
            "middle_name": "TEJO",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.