Active NPI
Eli Nathaniel Lambert, PT
- Physical Therapist
- Vancouver, WA
National Provider Identifier
1396848412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00008627
- Practice address
- 1499 SE Tech Center PL Ste 140
Vancouver, WA 98683-9575 - Phone
- (360) 859-4886
- NPI assigned
- Sep 6, 2006
- 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 | PT00008627 | WA | Primary |
Addresses
Primary practice location
1499 SE Tech Center PL Ste 140
Vancouver, WA 98683-9575
Mailing address
3606 NE 54TH St
Vancouver, WA 98661-2029
Phone (509) 302-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8444184 | Medicaid | WA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00008627 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Living at Home - Vancouver, LLC | Current | Accepting new patients | |
| Healthy Living at Home - Seattle, LLC | Past | Accepting new patients | |
| Harada Physical Therapy & Rehab Services Inc., P.S. | Physical Therapist | Past | Accepting new patients |
| Charlotte Workers Comp Injury Center Inc | Physical Therapist | Past | Accepting new patients |
Locations
1499 SE Tech Center Pl
Ste 140
Vancouver, WA 98683
Phone (360) 859-4886
Organizations & group practices 4
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.
-
- Home Health Agency
- Vancouver, WA
- NPI 1255812020
-
- Physical Therapist
- Oak Harbor, WA
- NPI 1629066717
-
- Home Health Agency
- Seattle, WA
- NPI 1043870413
-
- Massage Therapist
- Punta Gorda, FL
- NPI 1982699807
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1396848412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3606 NE 54TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986612029",
"telephone_number": "509-302-8000",
"fax_number": "509-302-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1499 SE TECH CENTER PL STE 140",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839575",
"telephone_number": "360-859-4886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMBERT",
"first_name": "ELI",
"middle_name": "NATHANIEL",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00008627",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8444184",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.