Individual provider Active NPI

Jake David Look, DPT

  • Physical Therapist
  • Puyallup, WA
National Provider Identifier
1326564378
Registry record updated Aug 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60748587 Issued in WA
Practice address
16222 Meridian E Ste 101
Puyallup, WA 98375-6332
Phone
(253) 864-7595
Fax
(253) 864-0457
NPI assigned
Aug 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2017

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 PT60748587 WA Primary

Addresses

Primary practice location

16222 Meridian E Ste 101
Puyallup, WA 98375-6332

Mailing address

9315 Gravelly Lake Dr SW Ste 306
Lakewood, WA 98499-1581
Phone (253) 581-5200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170905002520 WA Practitioner - Physical Therapist in Private Practice 6608149190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capstone Health Services IncGroup PAC ID 0446414403, 26 clinicians

Practice addresses (Care Compare)

8862 Bender Rd
Suite 101
Lynden, WA 98264-8800
Phone (360) 354-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Capstone Health Services Inc. Physical Therapist Current Accepting new patients
Multicare Health System Current Accepting new patients
Capstone Health Services Inc. Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Capstone Health Services Inc. CurrentSince Aug 1, 2022 Accepting new patients
Multicare Health System CurrentSince Mar 5, 2018 Accepting new patients
Multicare Health System CurrentSince Mar 5, 2018 Accepting new patients
Olympic Sports and Spine Rehabilitation, P.S. Physical Therapist Past Accepting new patients

Locations

414 W Bakerview Rd
Ste 110
Bellingham, WA 98226
Phone (360) 223-3696

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

8862 Bender Rd
Ste 101
Lynden, WA 98264
Phone (360) 255-7876

16222 Meridian E
Ste 101
Puyallup, WA 98375
Phone (253) 846-7595

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

7727 40th St W
Ste A
University Place, WA 98466
Phone (253) 460-1362

Organizations & group practices 7

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": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503273600000",
    "number": "1326564378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9315 GRAVELLY LAKE DR SW STE 306",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991581",
            "telephone_number": "253-581-5200",
            "fax_number": "253-581-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16222 MERIDIAN E STE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756332",
            "telephone_number": "253-864-7595",
            "fax_number": "253-864-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOK",
        "first_name": "JAKE",
        "middle_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-21",
        "last_updated": "2017-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60748587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.