Individual provider Active NPI

Felix Gacad, PT

  • Orthopedic Physical Therapist
  • Friday Harbor, WA
National Provider Identifier
1508309634
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
00003780 Issued in WA
Practice address
669 Mullis St
Suite 102
Friday Harbor, WA 98250-7902
Phone
(360) 370-5226
Fax
(360) 370-5559
NPI assigned
Nov 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 00003780 WA Primary

Addresses

Primary practice location

669 Mullis St
Suite 102
Friday Harbor, WA 98250-7902

Mailing address

669 Mullis St
Suite 102
Friday Harbor, WA 98250-7902
Phone (360) 370-5226

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00003780WAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Islanders Physical Therapy and Rehabilitation, Inc. PastSince Jan 4, 2016 Accepting new patients

Organizations & group practices 1

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": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1508309634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 MULLIS ST",
            "address_2": "SUITE 102",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982507902",
            "telephone_number": "360-370-5226",
            "fax_number": "360-370-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 MULLIS ST",
            "address_2": "SUITE 102",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982507902",
            "telephone_number": "360-370-5226",
            "fax_number": "360-370-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACAD",
        "first_name": "FELIX",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "00003780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friday Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.