David Anthony Therrattil

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60330269 Issued in WA

Practice address

23505 E Appleway Ave
Ste. 106
Liberty Lake, WA 99019-6003

Phone

(509) 891-2258

Fax

(509) 891-2094

NPI assigned

Mar 11, 2013

Sex

Male

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)

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.

• Therapeutic Associates Inc

  • Physical Therapist
  • Bothell, WA
  • NPI 1114376563
  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1700862000
  NPD (past)

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1023359304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD",
            "address_2": "SUITE 300",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247736",
            "telephone_number": "800-219-8835",
            "fax_number": "503-639-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23505 E APPLEWAY AVE",
            "address_2": "STE. 106",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990196003",
            "telephone_number": "509-891-2258",
            "fax_number": "509-891-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERRATTIL",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60330269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01196889",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12058/12062",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• That Therapy Space
• The Couch PLLC
• The Hive Collective PLLC
• Therapeutic Associates Inc
• Therapy Corner & Consulting, Professional Corporation
• Kristin Thompson, RDH
• Kaitlyn Ann Thomson, LMT
• Toillion Pediatric Dentistry
• Kelli A Torres
• Taylee Marie Toynbee

• Physical Therapist in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.