PT Northwest of Longview, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PT NORTHWEST OF LONGVIEW, INC

Practice address

1714 S Gold St
Centralia, WA 98531-8951

Phone

(360) 360-5532

Fax

(564) 999-5722

NPI assigned

Dec 27, 2022

Last updated

Dec 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Bryan Barganier

Title

Cfo

Phone

(205) 536-7602

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1083327860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 S GOLD ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985318951",
            "telephone_number": "360-360-5532",
            "fax_number": "564-999-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT NORTHWEST OF LONGVIEW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "BARGANIER",
        "authorized_official_first_name": "THOMAS BRYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-536-7602"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence Health & Services Washington (Providence Centralia Hospital)
• Providence Health & Services Washington
• Providence Health & Services Washington
• Providence Health & Services Washington
• Providence Health System Washington
• Quick Clinic PLLC (Washington Park Direct Care)
• Courtney Morgan Quinby, PHARMD
• Affan Wajahat Rabbani, M.D
• Robin A Ralph
• Charlene Linda Ramirez, REGISTERED NURSE

• Physical Therapist in Centralia, WA
• Providers in Centralia, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.