1134276306 NPI number — TURNING POINTE PHYSICAL THERAPY, INC.

Table of content: (NPI 1134276306)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134276306 NPI number — TURNING POINTE PHYSICAL THERAPY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TURNING POINTE PHYSICAL THERAPY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134276306
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/27/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
315 W 9TH AVE
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
SPOKANE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
99204-2501
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-326-8878
Provider Business Mailing Address Fax Number:
509-326-1157

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
315 W 9TH AVE
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99204-2501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-326-8878
Provider Business Practice Location Address Fax Number:
509-326-1157
Provider Enumeration Date:
01/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PETRUCELLY
Authorized Official First Name:
NOLA
Authorized Official Middle Name:
B
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
509-326-8878

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  PT00008073 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X , with the licence number: PT00008595 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225100000X , with the licence number: PT00007579 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X , with the licence number: PT00002678 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X , with the licence number: PT00008218 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0195144 . This is a "L & I GROUP PIN" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 10146330 . This is a "REGENCE BS OF ID GROUPPIN" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 7126675 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1350PE . This is a "MEDICALLAKE PT ASURIS PIN" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 7940306 . This is a "AETNA PROVIDER PIN" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: DD4457 . This is a "RR MEDICARE GROUP PIN" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 5495PE . This is a "TURNING POINTE ASURIS PIN" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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