Individual provider Active NPI

Alisa Faith James, DPT

  • Physical Therapist
  • Lake Stevens, WA
National Provider Identifier
1780177683
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60842269 Issued in WA
Practice address
1819 S Lake Stevens Rd Unit E
Lake Stevens, WA 98258-2060
Phone
(425) 334-1122
Fax
(425) 334-1188
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 603433057 WA
Physical Therapist 225100000X PT60842269 WA Primary

Addresses

Primary practice location

1819 S Lake Stevens Rd Unit E
Lake Stevens, WA 98258-2060

Mailing address

27500 102ND Ave NW Ste 1
Stanwood, WA 98292-8092
Phone (360) 629-7528

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ajames@nwrtwmv.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180724000282 WA Practitioner - Physical Therapist in Private Practice 6305193251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Washington School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Return to Work Mt VernonGroup PAC ID 6204151152, 5 clinicians

Practice addresses (Care Compare)

1600 Roosevelt Ave
Suite B
Mount Vernon, WA 98273-2646
Phone (360) 424-5215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
603433057WAMDPhysical Medicine & Rehabilitation Physician
PT60842269WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Rehab Physical Therapy Inc Physical Therapist CurrentSince Jun 18, 2021 Accepting new patients
Northwest Return to Work Mt Vernon Physical Therapist CurrentSince Jun 18, 2021 Accepting new patients
United Indian Health Services, Inc. Physical Therapist Past Accepting new patients
United Indian Health Services, Inc. Past Accepting new patients

Locations

1600 Roosevelt Ave
Ste B
Mount Vernon, WA 98273
Phone (360) 424-5215

Organizations & group practices 4

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": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1780177683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27500 102ND AVE NW STE 1",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928092",
            "telephone_number": "360-629-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 S LAKE STEVENS RD UNIT E",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982582060",
            "telephone_number": "425-334-1122",
            "fax_number": "425-334-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "ALISA",
        "middle_name": "FAITH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "603433057",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60842269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajames@nwrtwmv.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1600 Roosevelt Ave Ste B",
            "city": "Mount Vernon",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982732646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.