Active NPI
Sumita Rao, PT
- Physical Therapist
- Bellevue, WA
National Provider Identifier
1780867200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00010650
- Practice address
- 11695 NE 4TH St
Bellevue, WA 98004-5268 - Phone
- (425) 637-1855
- NPI assigned
- Dec 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00010650 | WA | Primary |
Addresses
Primary practice location
11695 NE 4TH St
Bellevue, WA 98004-5268
Mailing address
11695 NE 4TH St
Bellevue, WA 98004-5268
Phone (425) 637-1855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT00010650 | Other | WA | WA PHYSICALTHERAPY BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2000 Main Line Blvd
Alexandria, VA 22301-3057
PO Box
Suite 290609
Nashville, TN 37229
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00010650 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highline Physical Therapy Group | Physical Therapist | Current | Accepting new patients |
| Highline Physical Therapy Group | Physical Therapist | Current | 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
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.
-
- Physical Therapist
- Burien, WA
- NPI 1477797991
-
- Physical Therapist
- Bonney Lake, WA
- NPI 1255147336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1780867200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11695 NE 4TH ST",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980045268",
"telephone_number": "425-637-1855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11695 NE 4TH ST",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980045268",
"telephone_number": "425-637-1855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "SUMITA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-06",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00010650",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA PHYSICALTHERAPY BOARD",
"identifier": "PT00010650",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.