Active NPI
James Ronald Rivard
- Physical Therapist
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00003848
- Practice address
- 1540 140TH Ave NE Ste 200
Bellevue, WA 98005-4516 - Phone
- (425) 644-6048
- Fax
- (425) 641-2721
- NPI assigned
- Jan 11, 2007
- 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 Therapist | 225100000X | PT00003848 | WA | Primary |
Addresses
Primary practice location
1540 140TH Ave NE Ste 200
Bellevue, WA 98005-4516
Mailing address
1540 140TH Ave NE Ste 200
Bellevue, WA 98005-4516
Phone (425) 644-6048
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RI8243 | Other | WA | REGENCE BLUE SHIELD OF WA |
| 0127989 | Other | WA | LABOR AND INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 W McGraw St
Seattle, WA 98199-3208
Phone (206) 281-7970
506 12TH Ave
Seattle, WA 98122-5509
Phone (206) 430-6262
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Motion Lab | Current | Accepting new patients | |
| Manual Therapy International Professional Services PLLC | Physical Therapist | Current | Accepting new patients |
Locations
1560 140th Ave NE
Ste 100
Bellevue, WA 98005
Phone (425) 746-2475
506 12th Ave
Seattle, WA 98122
Phone (206) 212-1213
3200 W McGraw St
Seattle, WA 98199
Phone (206) 281-7970
Organizations & group practices 2
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.
-
- Physical Therapist
- Bellevue, WA
- NPI 1871654475
-
- Physical Therapy Clinic/Center
- Seattle, WA
- NPI 1710623731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356491658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 140TH AVE NE STE 200",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980054516",
"telephone_number": "425-644-6048",
"fax_number": "425-641-2721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 140TH AVE NE STE 200",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980054516",
"telephone_number": "425-644-6048",
"fax_number": "425-641-2721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVARD",
"first_name": "JAMES",
"middle_name": "RONALD",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00003848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD OF WA",
"identifier": "RI8243",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0127989",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.