RUSSELL MIKAMI (NPI# 1851606586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851606586 |
| Entity Type | Organization |
| Organization Name | RUSSELL MIKAMI |
| Other Organization Name | LIGHTHOUSE PHYSICAL THERAPY |
| Practice Address |
15413 E Valleyway Ave Bldg B-200 Spokane Valley WA 99037-8554 |
| Practice Telephone | 5099283443 |
| Mailing Telephone | 5099283443 |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |
| Authorized Official Name | MRS. GLORIA MIKAMI (BUSINESS MANAGER) |
| Authorized Official Telephone | 5099283443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT 00003614 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7107527 | 05 |
| Other Name | Type Code |
|---|---|
| Lighthouse Physical Therapy | Doing Business As Name - Organization |
| Street Address |
15413 E VALLEYWAY AVE BLDG B-200 |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99037-8554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364143 | Lighthouse Pt & Sports Medicine | Physical Medicine & Rehabilitation | 15413 E Valleyway, Building B-200, Spokane Valley, WA 99037 | 2020-10-23 |
| 1609345727 | Liberty Asc | Clinic/Center | 507 N Sullivan Suite 120, Spokane Valley, WA 99037 | 2018-11-19 |
| 1639542061 | Timothy Richards | Physical Therapist | 15413 E Valleyway Ave, Spokane Valley, WA 99037 | 2015-11-06 |
| 1790055671 | Mark Miles Elmore | Counselor | 1120 N. Pines Rd, Suite C, Spokane Valley, WA 99037 | 2012-01-09 |
| 1578849402 | Gary Jack Schwander | Massage Therapist | 15404 E. Springfield Ave, Suite 100, Spokane Valley, WA 99037 | 2011-10-24 |
| 1811296189 | Jolee P Karr | Physical Therapy Assistant | 15425 E. Mission Ave, Spokane Valley, WA 99037 | 2011-03-25 |
| 1225369564 | Freedomcare of Wa, LLC | In Home Supportive Care | 13120 E 14th Ave, Spokane Valley, WA 99037 | 2010-01-27 |
| 1649507229 | Tiffany Ann Vanderpool | Massage Therapist | 325 S. Sullivan Rd, Spokane Valley, WA 99037 | 2009-11-03 |
| 1104059674 | Rachael Patricia Leonard | Massage Therapist | 325 S. Sullivan, Suite E, Spokane Valley, WA 99037 | 2009-08-31 |
| 1942432638 | Elements Therapeutic Massage-valley | Massage Therapist | 325 S Sullivan, Suite B, Spokane Valley, WA 99037 | 2009-08-14 |
| Find all providers in zip 99037 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841714276 | Psychiatric Solutions LLC | Specialist | 1620 N Mamer Rd Bldg B, Spokane Valley, WA 99216-3722 | 2017-07-27 |
| 1609159466 | Andrey V Altukhov | Specialist | 906 S. Park Rd, Spokane Valley, WA 99212 | 2011-09-27 |
| 1154614113 | Heather M. Renz | Specialist | 7304 E Maxwell Ave, Spokane Valley, WA 99212-1174 | 2011-05-24 |
| 1396046389 | Carol L Hathaway, M.d., P.s. | Specialist | 1415 N Houk Rd Ste B, Spokane Valley, WA 99216-1043 | 2010-11-08 |
| 1942437728 | Heather T Lock | Specialist | 2310 N Cherry St Ste 200, Spokane Valley, WA 99216-1152 | 2009-06-18 |
| 1548402175 | Jenefer Lee Wilie | Specialist | 826 N Mullan Rd Ste B, Spokane Valley, WA 99206-4094 | 2009-03-27 |
| 1972740058 | Carol Renee Johnson | Specialist | 321 N Pines Rd, Suite C, Spokane Valley, WA 99206-5176 | 2009-01-12 |
| 1972755601 | Lori Kay Beach | Specialist | 15605 E Sprague Ave, Spokane Valley, WA 99037-8901 | 2008-10-13 |
| 1295981579 | Brent S Mueller | Specialist | 1005 N Evergreen Rd Ste 10, Spokane Valley, WA 99216-1485 | 2008-08-18 |
| 1316101017 | Stephanie Ann Huss | Specialist | 11128 E Sprague Ave, Spokane Valley, WA 99206-5218 | 2008-07-11 |
| Find all providers in SPOKANE VALLEY | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99037 |
Please comment or provide details below to improve the information on RUSSELL MIKAMI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.