Individual provider Active NPI

James H Isaak, PHYSICAL THERAPIST

  • Physical Therapist
  • Vancouver, WA
National Provider Identifier
1417025131
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00000930 Issued in WA
Practice address
1503 NE 78TH St
Ste 9
Vancouver, WA 98665-9666
Phone
(360) 573-5500
Fax
(360) 573-9075
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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 PT00000930 WA Primary

Addresses

Primary practice location

1503 NE 78TH St
Ste 9
Vancouver, WA 98665-9666

Mailing address

1503 NE 78TH St
Ste 9
Vancouver, WA 98665-9666
Phone (360) 573-5500

Other identifiers 1

IdentifierTypeStateIssuer
8868022OtherWAMEDICARE PTAN

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Park Sports Medicine & Rehab Clinic PLLC Past Accepting new patients
Hazel Dell Sports Medicine & Rehab Clinic PLLC PastSince Mar 1, 2002 Accepting new patients
Gehm Chiropractic Services Past Accepting new patients

Organizations & group practices 3

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1417025131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 NE 78TH ST",
            "address_2": "STE 9",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986659666",
            "telephone_number": "360-573-5500",
            "fax_number": "360-573-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 NE 78TH ST",
            "address_2": "STE 9",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986659666",
            "telephone_number": "360-573-5500",
            "fax_number": "360-573-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAK",
        "first_name": "JAMES",
        "middle_name": "H",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00000930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "8868022",
            "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 May 23, 2013; 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.