Active NPI
Electrodiagnosis & Rehabilitation Medicine Inc PS
- Physical Medicine & Rehabilitation Physician
- Everett, WA
National Provider Identifier
1386702926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- ELECTRODIAGNOSIS & REHABILITATION MEDICINE INC PS
- Practice address
- 3223 Colby Ave
Everett, WA 98201-4306 - Phone
- (425) 258-6446
- Fax
- (425) 258-9696
- NPI assigned
- Dec 5, 2006
- Last updated
- Feb 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Santosh Kumar, MD
- Title
- President
- Phone
- (425) 258-6446
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
3223 Colby Ave
Everett, WA 98201-4306
Mailing address
3223 Colby Ave
Everett, WA 98201-4306
Phone (425) 258-6446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3223 Colby Ave
Everett, WA 98201
Phone (425) 258-6446
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Everett, WA
- NPI 1114085792
-
- Physical Medicine & Rehabilitation Physician
- Tacoma, WA
- NPI 1184786600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423785600000",
"number": "1386702926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3223 COLBY AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014306",
"telephone_number": "425-258-6446",
"fax_number": "425-258-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3223 COLBY AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014306",
"telephone_number": "425-258-6446",
"fax_number": "425-258-9696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELECTRODIAGNOSIS & REHABILITATION MEDICINE INC PS",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2015-02-13",
"status": "A",
"authorized_official_last_name": "KUMAR",
"authorized_official_first_name": "SANTOSH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "425-258-6446",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.