Individual provider Active NPI

Cecil Joseph Casimir, PT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1780791632
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8494 Issued in WA
Practice address
9720 4TH Ave NE
Seattle, WA 98115-2143
Phone
(206) 302-1200
Fax
(206) 302-1283
NPI assigned
Aug 25, 2006
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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 8494 WA Primary

Addresses

Primary practice location

9720 4TH Ave NE
Seattle, WA 98115-2143

Mailing address

9720 4TH Ave NE
Seattle, WA 98115-2143
Phone (206) 302-1200

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090826000667 WA Practitioner - Physical Therapist in Private Practice 6608921689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 15TH Ave E
Seattle, WA 98112-5260
Phone (206) 326-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8494WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Highline Physical Therapy Group Physical Therapist CurrentSince May 17, 2009 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Mar 18, 2019 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince May 17, 2009 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Mar 18, 2019 Accepting new patients
Kaiser Foundation Health Plan of Washington PastSince Apr 20, 2021 Accepting new patients

Locations

16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400

16259 Sylvester Rd SW
Ste 102
Burien, WA 98166
Phone (206) 242-5186

1010 S 336th St
Ste 112
Federal Way, WA 98003
Phone (253) 466-6017

19379 7th Ave NE
Poulsbo, WA 98370
Phone (360) 394-1000

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1780791632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 4TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152143",
            "telephone_number": "206-302-1200",
            "fax_number": "206-302-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 4TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152143",
            "telephone_number": "206-302-1200",
            "fax_number": "206-302-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIMIR",
        "first_name": "CECIL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "8494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9720 4th Ave NE",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981152143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.