Active NPI
Relationshipandsupply
- Physical Therapy Clinic/Center
- Vancouver, WA
National Provider Identifier
1053156646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- RELATIONSHIPANDSUPPLY
- Practice address
- 4201 NE 66TH Ave Ste 104
Vancouver, WA 98661-3078 - Phone
- (360) 624-7760
- NPI assigned
- Jun 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Peaker, OT, CHT
- Title
- Occupational and Hand Therapist
- Phone
- (509) 680-0468
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
4201 NE 66TH Ave Ste 104
Vancouver, WA 98661-3078
Mailing address
3415 NE 95TH Way
Vancouver, WA 98665-5333
Other names 1
- WorkFit Rehab
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hand Occupational Therapist
- Vancouver, WA
- NPI 1649693904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719360000000",
"number": "1053156646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 NE 95TH WAY",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986655333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 NE 66TH AVE STE 104",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613078",
"telephone_number": "360-624-7760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELATIONSHIPANDSUPPLY",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-26",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A",
"authorized_official_last_name": "PEAKER",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "OCCUPATIONAL AND HAND THERAPIST",
"authorized_official_telephone_number": "509-680-0468",
"authorized_official_credential": "OT, CHT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WorkFit Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.