Individual provider Active NPI

Matthew Mitsuo Sato, DPT

  • Physical Therapist
  • Redmond, WA
National Provider Identifier
1639310576
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60080166 Issued in WA
Practice address
8495 161St Ave NE
Redmond, WA 98052-3805
Phone
(425) 881-3001
Fax
(425) 881-3585
NPI assigned
Mar 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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 PT60080166 WA Primary

Addresses

Primary practice location

8495 161St Ave NE
Redmond, WA 98052-3805

Mailing address

8495 161St Ave NE
Redmond, WA 98052-3805
Phone (425) 881-3001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101008000557 WA Practitioner - Physical Therapist in Private Practice 4981896966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houghton Physical Therapy LLCGroup PAC ID 3577857903, 9 clinicians

Practice addresses (Care Compare)

6710 108TH Ave NE
Suite 100
Kirkland, WA 98033-7050
Phone (425) 979-7445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Houghton Physical Therapy LLC Physical Therapist CurrentSince Jul 1, 2016 Accepting new patients
Redmond Physical Therapy, Inc. Physical Therapist PastSince Nov 1, 2010 Accepting new patients

Locations

6710 108th Ave NE
Ste 100
Kirkland, WA 98033
Phone (206) 963-7499

6710 108th Ave NE
Kirkland, WA 98033
Phone (425) 979-7445

Organizations & group practices 2

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": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1639310576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8495 161ST AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523805",
            "telephone_number": "425-881-3001",
            "fax_number": "425-881-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8495 161ST AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523805",
            "telephone_number": "425-881-3001",
            "fax_number": "425-881-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATO",
        "first_name": "MATTHEW",
        "middle_name": "MITSUO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60080166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.