Organization Active NPI

Sakura Life Therapy, PLLC

  • Home Health Agency
  • Camas, WA
National Provider Identifier
1922799758
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SAKURA LIFE THERAPY, PLLC
Practice address
3717 NW 12TH Ave
Camas, WA 98607-7985
Phone
(425) 931-6098
NPI assigned
May 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Ai Nakayama, OTR/LNPI 1154635464
Title
Occupational Therapist
Phone
(425) 931-6098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

3717 NW 12TH Ave
Camas, WA 98607-7985

Mailing address

3717 NW 12TH Ave
Camas, WA 98607-7985
Phone (425) 931-6098

Other names 1

  • Sakura Life Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1922799758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 NW 12TH AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077985",
            "telephone_number": "425-931-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 NW 12TH AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077985",
            "telephone_number": "425-931-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAKURA LIFE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "NAKAYAMA",
        "authorized_official_first_name": "AI",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "425-931-6098",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sakura Life Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camas, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.