Active NPI
Binal Motawar
- Physical Therapist
- Longview, WA
National Provider Identifier
1083036479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60604082
- Practice address
- 852 Commerce Ave
Longview, WA 98632-2406 - Phone
- (360) 501-3750
- Fax
- (360) 501-3755
- NPI assigned
- Jan 20, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60604082 | WA | Primary |
Addresses
Primary practice location
852 Commerce Ave
Longview, WA 98632-2406
Mailing address
1115 SE 164TH Ave
Dept. 358
Vancouver, WA 98683-9324
Phone (360) 729-1462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60604082 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vesta Memory Care, LLC | Past | Accepting new patients | |
| Discover Family Chiropractic, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461715200000",
"number": "1083036479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 SE 164TH AVE",
"address_2": "DEPT. 358",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839324",
"telephone_number": "360-729-1462",
"fax_number": "360-729-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "852 COMMERCE AVE",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322406",
"telephone_number": "360-501-3750",
"fax_number": "360-501-3755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTAWAR",
"first_name": "BINAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-20",
"last_updated": "2016-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60604082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.