Active NPI
Isaac Cuauhcoatl Aguilar
- Physical Therapy Clinic/Center
- Tacoma, WA
National Provider Identifier
1659969574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 61092959
- Practice address
- 3315 S 23Rd St Ste 210
Tacoma, WA 98405-1616 - Phone
- (253) 572-8684
- NPI assigned
- Jan 6, 2021
- Sex
- Male
- Sole proprietor
- Yes
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.
-
- Orthopaedic Surgery Physician
- Los Angeles, CA
- NPI 1942300918
CA, Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220323001098 | CA | Practitioner - Physical Therapist in Private Practice | 5799199899 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61092959 | WA | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Hospital | Physical Therapy | Current | Accepting new patients |
| Orthopaedic Hospital Medical Group Inc | Physical Therapy | Current | Accepting new patients |
Locations
403 W Adams Blvd
Los Angeles, CA 90007
Phone (213) 741-8330
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 61092959 | WA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3315 S 23Rd St Ste 210
Tacoma, WA 98405-1616
Mailing address
2701 N 12TH St Unit B
Tacoma, WA 98406-7316
Phone (323) 839-7150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 6, 2021.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1659969574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 N 12TH ST UNIT B",
"city": "TACOMA",
"state": "WA",
"postal_code": "984067316",
"telephone_number": "323-839-7150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 S 23RD ST STE 210",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051616",
"telephone_number": "253-572-8684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILAR",
"first_name": "ISAAC",
"middle_name": "CUAUHCOATL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-06",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "WA",
"license": "61092959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.