James Michael Wixwat, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61189901 Issued in WA

Practice address

420 Ohio St
Bellingham, WA 98225-4637

Phone

(360) 714-0870

Fax

(360) 714-0872

NPI assigned

Aug 31, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Physical Therapy Inc PSGroup PAC ID 5597066589, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Performance Physical Therapy, Inc. P.S.

  • Physical Therapist
  • Bellingham, WA
  • NPI 1124402292
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1831867308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 OHIO ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254637",
            "telephone_number": "360-714-0870",
            "fax_number": "360-714-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 OHIO ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254637",
            "telephone_number": "360-714-0870",
            "fax_number": "360-714-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIXWAT",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61189901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENSE",
            "identifier": "PT61189901",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Bellingham",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1616 Cornwall Ave Ste B",
            "city": "Bellingham",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982254648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victoria Witrak
• Laura R Witt, LMHC
• Brenden M Witte, ND
• Carmen Louise Witte, R.D.H.
• Todd N Witte, M.D.
• Lucian Elias Wizer-Green
• Genevieve Wohlford
• Selva Wohlgemuth, RD
• Katlin C Wojnicki, ARNP
• Leslie D Wokich

• Physical Therapist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.