Individual provider Active NPI

Eric R Sakamoto, PT

  • Physical Therapist
  • Bellingham, WA
National Provider Identifier
1669684254
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00007231 Issued in WA
Practice address
1611 Broadway St
Bellingham, WA 98225
Phone
(360) 733-0500
Fax
(360) 671-3366
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT00007231 WA Primary

Addresses

Primary practice location

1611 Broadway St
Bellingham, WA 98225

Mailing address

PO Box 31188
Bellingham, WA 98228
Phone (360) 733-0500

Other identifiers 2

IdentifierTypeStateIssuer
8752SAOtherWAREGENCE HEALTHCARE INS
183767OtherWALABOR & INDUSTRIES WC

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00007231WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Altus Physical Therapy Inc Physical Therapist PastSince Jun 18, 2004 Accepting new patients
Cascade Physical Therapy and Sports Clinic, Inc. PastSince Jan 1, 2008 Accepting new patients
Cascade Physical Therapy & Sports Clinic Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669684254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31188",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98228",
            "telephone_number": "360-733-0500",
            "fax_number": "360-671-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 BROADWAY ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "360-733-0500",
            "fax_number": "360-671-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKAMOTO",
        "first_name": "ERIC",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE HEALTHCARE INS",
            "identifier": "8752SA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES WC",
            "identifier": "183767",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.