Individual provider Active NPI

Eli Nathaniel Lambert, PT

  • Physical Therapist
  • Vancouver, WA
National Provider Identifier
1396848412
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008627 Issued in WA
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

Updated by the provider on Jan 8, 2020

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 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

IdentifierTypeStateIssuer
8444184MedicaidWA

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

LicenseStateTypeSpecialty
PT00008627WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Living at Home - Vancouver, LLC CurrentSince May 16, 2022 Accepting new patients
Healthy Living at Home - Seattle, LLC PastSince Jan 12, 2020 Accepting new patients
Harada Physical Therapy & Rehab Services Inc., P.S. Physical Therapist PastSince Jul 8, 2019 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.

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.

Verify at the official NPI Registry.