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MR. RUSSELL MIKAMI P.T.
NPI 1225016488
Specialist in Spokane Valley, WA

Active since January 06, 2006
618 N SULLIVAN RD, SUITE 3, SPOKANE VALLEY, WA 99037(509) 928-3443(509) 891-5591 Get Directions Write a Review

NPPES record last updated: August 13, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Russell Mikami P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RUSSELL MIKAMI P.T. (NPI 1225016488) is an individual specialist in Spokane Valley, Washington, licensed in Washington (025208 PT00003614) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1225016488
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. RUSSELL MIKAMICredential: P.T.
Location Address618 N SULLIVAN RD, SUITE 3Spokane Valley, WA 99037-8528
Mailing Address618 N Sullivan Rd, Suite 3Spokane Valley, WA 99037-8528 · (509) 928-3443 · Fax (509) 891-5591
Phone(509) 928-3443
Fax(509) 891-5591
Sole ProprietorYes
Enumeration DateJanuary 6, 2006
Last NPPES UpdateAugust 13, 2010
✔ NPI 1225016488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · 025208 PT00003614
Definition
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.
618 N SULLIVAN RD, Spokane Valley, WA 99037
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Other Identifiers 2

Medicaid7107627WA
Medicare ID-Type UnspecifiedGAB23051WA · Provider #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Russell Mikami P.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Russell Mikami reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lighthouse Physical Therapy And Sports Medicine
2.1 mi
Physical Medicine & Rehabilitation
18915 E APPLEWAY AVE A200
Greenacres, WA 99016
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Dr Ryan Joseph Allen Zumwalt
  • 3 clinicians in this Medicare group
NPI 1598364143 (509) 928-3443

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Mikami's NPI number?

The NPI number for Russell Mikami is 1225016488. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Russell Mikami located?

Russell Mikami practices at 618 N Sullivan Rd Suite 3, Spokane Valley, WA 99037. The listed phone number is (509) 928-3443.

What is Russell Mikami's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Russell Mikami enrolled in Medicare?

Yes. Russell Mikami is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Russell Mikami's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Russell Mikami reassigns Medicare benefits to Lighthouse Physical Therapy And Sports Medicine (Greenacres, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Russell Mikami's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Russell Mikami was last updated on August 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.