Individual provider Active NPI

Eric James Ninomiya, DPT

  • Orthopedic Physical Therapist
  • Kirkland, WA
National Provider Identifier
1669996856
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
11800 NE 128TH St Ste 510
Kirkland, WA 98034-7296
Phone
(425) 820-2590
NPI assigned
Jul 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

11800 NE 128TH St Ste 510
Kirkland, WA 98034-7296

Mailing address

1560 140TH Ave NE Ste 100
Bellevue, WA 98005-4571
Phone (425) 746-2475

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170920002599 WA Practitioner - Physical Therapist in Private Practice 4981978574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Washington University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manual Therapy International Professional Services PLLCGroup PAC ID 7012808041, 44 clinicians

Practice addresses (Care Compare)

11800 NE 128TH St
Suite 510
Kirkland, WA 98034-7296
Phone (425) 820-2590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Manual Therapy International Professional Services PLLC CurrentSince Sep 7, 2017 Accepting new patients

Locations

1560 140th Ave NE
Ste 100
Bellevue, WA 98005
Phone (425) 746-2475

21616 76th Ave W
Ste 102
Edmonds, WA 98026
Phone (425) 582-8851

11800 NE 128th St
Ste 510
Kirkland, WA 98034
Phone (425) 820-2590

3200 W McGraw St
Seattle, WA 98199
Phone (206) 281-7970

Organizations & group practices 1

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": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501200000000",
    "number": "1669996856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 140TH AVE NE STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054571",
            "telephone_number": "425-746-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 NE 128TH ST STE 510",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347296",
            "telephone_number": "425-820-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINOMIYA",
        "first_name": "ERIC",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-28",
        "last_updated": "2017-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; 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.