Individual provider Active NPI

Erin T Rajca, DPT

  • Physical Therapist
  • Edmonds, WA
National Provider Identifier
1407026966
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00010872 Issued in WA
Practice address
190 W Dayton St Ste 202
Edmonds, WA 98020-7221
Phone
(425) 582-8118
Fax
(425) 582-7420
NPI assigned
Mar 11, 2008
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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 PT00010872 WA Primary

Addresses

Primary practice location

190 W Dayton St Ste 202
Edmonds, WA 98020-7221

Mailing address

7320 216TH St SW Ste 320
Edmonds, WA 98026-8006
Phone (425) 673-3900

Other practice location 1

15808 Mill Creek Blvd Ste 120
Mill Creek, WA 98012-1500
Phone (425) 225-6867

Other identifiers 1

IdentifierTypeStateIssuer
1054838MedicaidWA

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
PT00010872WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc P S Current Accepting new patients
Proliance Surgeons Inc P S CurrentSince Jan 12, 2020 Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 2, 2022 Accepting new patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients
Proliance Surgeons, Inc., P.S. Physical Therapist CurrentSince Jan 12, 2020 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients

Locations

13555 SE 36th St
Ste 100
Bellevue, WA 98006

190 W Dayton St
Ste 202
Edmonds, WA 98020
Phone (425) 252-4700

7320 216th St SW
Ste 320
Edmonds, WA 98026
Phone (425) 673-3900

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

15808 Mill Creek Blvd
Ste 120
Mill Creek, WA 98012
Phone (425) 225-6867

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1407026966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 216TH ST SW STE 320",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268006",
            "telephone_number": "425-673-3900",
            "fax_number": "425-673-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W DAYTON ST STE 202",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980207221",
            "telephone_number": "425-582-8118",
            "fax_number": "425-582-7420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15808 Mill Creek Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WA",
            "postal_code": "980121500",
            "country_code": "US",
            "telephone_number": "425-225-6867",
            "fax_number": "425-332-2494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJCA",
        "first_name": "ERIN",
        "middle_name": "T",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1054838",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.