Organization Active NPI

Relationshipandsupply

  • Physical Therapy Clinic/Center
  • Vancouver, WA
National Provider Identifier
1053156646
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Andrew Peaker, OT, CHTNPI 1649693904
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.