Shirley Joanne Carlson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00005598 Issued in WA

Practice address

2118 W Garland Ave
Spokane, WA 99205-2526

Phone

(509) 326-1651

Fax

(509) 326-1658

NPI assigned

Nov 14, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spokane Guilds' School & Neuromuscular Center

  • Developmental Disabilities Clinic/Center
  • Spokane, WA
  • NPI 1063493393
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013089119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052526",
            "telephone_number": "509-326-1651",
            "fax_number": "509-326-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052526",
            "telephone_number": "509-326-1651",
            "fax_number": "509-326-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "SHIRLEY",
        "middle_name": "JOANNE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASURIS NW HEALTH",
            "identifier": "7404CA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE B LUE SHIELD",
            "identifier": "000010147686",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia M Carlson, ARNP
• Polly Thosath Carlson, MS
• Richard Harlan Carlson Jr.
• Scott Carlson, MD
• Shawnn Carlson, MA 60593496
• Stephen Carlson, MD
• Tara Carlson, M.S.
• Zachary T Carlson, M.D.
• Zachary Wayne Carlson, APRN
• Stephani Fae Carlton, LMHC

• Physical Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.