Richard Nakamura

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

26545 Maple Valley Black Diamond Rd SE Ste K160
Maple Valley, WA 98038-8391

Phone

(425) 578-7211

NPI assigned

Oct 15, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grays Harbor Community Hospital

  • General Acute Care Hospital
  • Aberdeen, WA
  • NPI 1154378859
  Medicare reassignment NPD
• Grays Harbor Community Hospital

  • Rural Health Clinic/Center
  • Montesano, WA
  • NPI 1083084677
  NPD
• Grays Harbor Community Hospital

  • Clinic/Center
  • Westport, WA
  • NPI 1497510333
  NPD

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1669070116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26545 MAPLE VALLEY BLACK DIAMOND RD SE STE K160",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980388391",
            "telephone_number": "425-578-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAMURA",
        "first_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Mun, PA-C
• Gina Maria Munro, SUDP
• Amy E Munson
• Staci Renee Murrain
• Sarah Mustafa, BSC(HONS) CCC-SLP
• Surbhi Nandan
• Muhammad Majid Nazir, PHARMD
• Eunice Ndungu
• Robert Keil Neal, O.D.
• Kirby Martin Nelson, DDS

• Physical Therapist in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.