One provider matched this enrollment ID.
Enrollment ID I20041027001061 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20041027001061Physical Therapist in Private PracticeWA
Source: CMS PECOS public enrollment file.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
- 7095565WA
Other
- 6275BOWA· Issued by REGENCE
- 6515BOWA· Issued by REGENCE
- 5250BOWA· Issued by REGENCE
- 0124051WA· Issued by LABOR AND INDUSTRIES
- 2370BOWA· Issued by REGENCE
- 256BOWA· Issued by REGENCE
- 0152BOWA· Issued by REGENCE
Source: NPPES public registry.
ReferenceAbout Medicare Enrollment IDs
A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.