CASSIUS EKHATOR - NPI NUMBER 1285963744

Summary

Provider Name: CASSIUS EKHATOR

NPI Number: 1285963744

Clasification: Clinic/Center (261QP2000X)

Specialization: Physical Therapy

Address:
13530 LINDEN AVE N APT 100
SEATTLE, WA
ZIP 98133

Phone Number: (281) 658-2003



Detailed Information

Cassius Ekhator is a physical therapy clinic/center in Seattle, WA. The assigned NPI number for this provider is 1285963744 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

13530 LINDEN AVE N APT 100
SEATTLE, WA
ZIP 98133-552
Phone: (281) 658-2003

The enumeration date for this NPI number is 12/12/2009 and was last updated on 12/12/2009.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 261QP2000X Clinic/Center Physical Therapy P1 60033015 WA Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1285963744 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name EKHATOR The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name CASSIUS The first name of the provider, if the provider is an individual.
5 Provider First Line Business Practice Location Address 13530 LINDEN AVE N APT 100 The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Business Practice Location Address City Name SEATTLE The city name in the location address of the provider being identified.
7 Provider Business Practice Location Address State Name WA The State code in the location of the provider being identified.
8 Provider Business Practice Location Address Postal Code 981337552 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
9 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
10 Provider Business Practice Location Address Telephone Number 2816582003 The telephone number associated with the location address of the provider being identified.
11 Provider Enumeration Date 12/12/2009 The date the provider was assigned a unique identifier (assigned an NPI).
12 Last Update Date 12/12/2009 The date that a record was last updated or changed.
13 Provider Gender Code M The code designating the provider’s gender if the provider is a person.
14 Healthcare Provider Taxonomy Code 1 261QP2000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
15 Provider License Number 1 P1 60033015 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
16 Provider License Number State Code 1 WA The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
17 Healthcare Provider Primary Taxonomy Switch 1 Y
18 Is Sole Proprietor Y Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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