Active NPI
Alexis C Yamas
- Physical Therapist
- Puyallup, WA
National Provider Identifier
1841008406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61641956
- Practice address
- 11212 Sunrise Blvd E Ste 202
Puyallup, WA 98374-8847 - Phone
- (253) 435-0360
- NPI assigned
- Dec 27, 2024
- Sex
- Female
- Sole proprietor
- No
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 | PT61641956 | WA | Primary |
Addresses
Primary practice location
11212 Sunrise Blvd E Ste 202
Puyallup, WA 98374-8847
Mailing address
11212 Sunrise Blvd E Ste 202
Puyallup, WA 98374-8847
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8011 112TH St CT E
Puyallup, WA 98373-7814
Phone (253) 848-0662
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT61641956 | WA | MD | Physical Therapist |
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1841008406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11212 SUNRISE BLVD E STE 202",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983748847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11212 SUNRISE BLVD E STE 202",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983748847",
"telephone_number": "253-435-0360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMAS",
"first_name": "ALEXIS",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-27",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61641956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.