Active NPI
Daniel Cokash
- Physical Therapist
- Seattle, WA
National Provider Identifier
1467774109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00009267
- Practice address
- 8720 14TH Ave S
Seattle, WA 98108-4807 - Phone
- (425) 670-9987
- NPI assigned
- Feb 23, 2010
- Last updated
- May 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00009267 | Primary | |
| Physical Therapist | 225100000X | 29090 | CA |
Addresses
Primary practice location
8720 14TH Ave S
Seattle, WA 98108-4807
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Phone (253) 681-6626
Other practice location 1
2 Keewaydin Dr
Salem, NH 03079-2839
Phone (800) 995-2673 ext. 1351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009267 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29090 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea-Mar Community Health Center | Past | Accepting new patients |
Locations
8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sea Mar Community Health Center
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
-
- Federally Qualified Health Center (FQHC)
- Bellevue, WA
- NPI 1568644714
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
-
- Family Medicine Physician
- Seattle, WA
- NPI 1942358817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1467774109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703",
"telephone_number": "253-681-6626",
"fax_number": "866-420-1055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8720 14TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981084807",
"telephone_number": "425-670-9987"
}
],
"practiceLocations": [
{
"address_1": "2 Keewaydin Dr",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "NH",
"postal_code": "030792839",
"country_code": "US",
"telephone_number": "800-995-2673 x1351",
"fax_number": "866-420-1055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COKASH",
"first_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-23",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "PT00009267",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "29090",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009267",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.