NPIMap

Organization Active NPI

Harada Physical Therapy & Rehab Services Inc., P.S.

Doing business as Harada Physical Therapy

  • Physical Therapist
  • Oak Harbor, WA
National Provider Identifier
1629066717
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00002355 Issued in WA
Legal business name
HARADA PHYSICAL THERAPY & REHAB SERVICES INC., P.S.
Doing business as
Harada Physical Therapy
Practice address
31955 State Route 20
Oak Harbor, WA 98277-5211
Phone
(360) 679-8600
Fax
(360) 679-8554
NPI assigned
Oct 12, 2005
Last updated
Jul 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Authorized official

Name
Mr. Erick K Harada, PTNPI 1619201928
Title
Physical Therapist Owner
Phone
(360) 679-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00002355 WA Primary

Addresses

Primary practice location

31955 State Route 20
Oak Harbor, WA 98277-5211

Mailing address

31955 State Route 20
Oak Harbor, WA 98277-5211
Phone (360) 679-8600

Other practice location 1

101 S Main St
Coupeville, WA 98239-3519
Phone (360) 682-2770

Other names 1

  • Harada Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040408000996 WA Part B Supplier - Clinic/Group Practice 5294729711 Receives reassigned benefits from 4 practitioners
Practice locations: Coupeville, WA; Oak Harbor, WA

National Provider Directory

National Provider Directory

Locations

31955 State Route 20
Oak Harbor, WA 98277
Phone (360) 279-9000

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1629066717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31955 STATE ROUTE 20",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775211",
            "telephone_number": "360-679-8600",
            "fax_number": "360-679-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31955 STATE ROUTE 20",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775211",
            "telephone_number": "360-679-8600",
            "fax_number": "360-679-8554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Main St",
            "address_purpose": "LOCATION",
            "city": "Coupeville",
            "state": "WA",
            "postal_code": "982393519",
            "country_code": "US",
            "telephone_number": "360-682-2770",
            "fax_number": "360-682-2959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARADA PHYSICAL THERAPY & REHAB SERVICES INC., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2021-07-02",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "HARADA",
        "authorized_official_first_name": "ERICK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
        "authorized_official_telephone_number": "360-679-8600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00002355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harada Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.

Verify at the official NPI Registry.