LIGHTHOUSE PHYSICAL THERAPY
NPI 1851606586
Specialist in Spokane Valley, WA

Active since August 18, 2010
15413 E VALLEYWAY AVE BLDG B-200, SPOKANE VALLEY, WA 99037(509) 928-3443 Get Directions Write a Review

NPPES record last updated: August 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lighthouse Physical Therapy NPPES

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

LIGHTHOUSE PHYSICAL THERAPY (NPI 1851606586) is a healthcare organization registered as a specialist in Spokane Valley, Washington and active in the NPI registry since August 2010. The organization lists Gloria Mikami, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1851606586
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRUSSELL MIKAMI
Location Address15413 E VALLEYWAY AVE BLDG B-200Spokane Valley, WA 99037-8554
Mailing Address15413 E Valleyway Ave Bldg B-200Spokane Valley, WA 99037-8554 · (509) 928-3443
Organization SubpartNo
Authorized OfficialGloria MikamiBusiness Manager · (509) 928-3443
Enumeration DateAugust 18, 2010
NPI 1851606586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in WA · PT 00003614
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.
15413 E VALLEYWAY AVE BLDG B-200, Spokane Valley, WA 99037

Other Names 1

Doing Business AsLighthouse Physical Therapy

Other Identifiers 2

Medicare PINGAB23051WA
Medicaid7107527WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 1851606586. It was assigned to this organization in the NPPES registry on August 18, 2010. The provider is doing business as Lighthouse Physical Therapy.

Where is Russell Mikami located?

Russell Mikami is located at 15413 E Valleyway Ave Bldg B-200, 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.

When was this NPI record last updated?

The NPPES record for Russell Mikami was last updated on August 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.