CSP Enterprise Inc
Organization Active NPI Physical Therapist · Cle Elum, WA
NPI 1033181565 · NPPES record last updated Dec 8, 2021
Key facts
- NPI
- 1033181565
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- CSP ENTERPRISE INC
- Practice address
- 105 N Pennsylvania Ave
Cle Elum, WA 98922-1126 - Phone
- (509) 674-0908
- Fax
- (509) 674-0920
- NPI assigned
- Feb 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Craig S Pigeon
- Title
- Owner
- Phone
- (509) 674-0908
Practitioners 5
-
Craig S Pigeon, B.S., P.T.
-
Rebecca Lee Proulx, LMP
-
Linda Louise Uptain, LMP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040726001476 | WA | Part B Supplier - Clinic/Group Practice | 4981674231 |
Receives reassigned benefits from 1 practitioner Practice locations: Cle Elum, WA |
National Provider Directory
Locations
105 N Pennsylvania Ave
Cle Elum, WA 98922
Phone (509) 674-0908
112 W Railroad St
Cle Elum, WA 98922
Phone (509) 674-0908
116 N Oakes Ave
Ste B
Cle Elum, WA 98922
306 S Main St
Ste 2
Ellensburg, WA 98926
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
105 N Pennsylvania Ave
Cle Elum, WA 98922-1126
Mailing address
PO Box 967
Cle Elum, WA 98922-0967
Phone (509) 674-0908
Other practice location 1
112 W Railroad St
Cle Elum, WA 98922-1131
Phone (509) 674-0908
Other names
- NorthWest Physical Therapy
Other providers in Cle Elum, WA
- Cle Elum Drug
- Cle Elum-Roslyn School District
- Cynthia Lou Cooper
- Jean Crane
- Celene A Cranston-Gohsman
- Daniel Whitemarsh DMD, P.S., Inc.
- Amanda Marie Deweese
- Lisa Michele Dupleich
- East Cascade Chiropractic, PLLC
- Easterns Pharmacy LLC
All providers in Cle Elum, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.