NPIMap

Organization Active NPI

Jaramillo Physical Therapy Services

  • Physical Therapy Clinic/Center
  • Spokane, WA
National Provider Identifier
1093080004
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
60308900011 Issued in WA
Legal business name
JARAMILLO PHYSICAL THERAPY SERVICES
Practice address
623 W Garland Ave
Spokane, WA 99205-2956
Phone
(509) 209-9488
Fax
(509) 209-9489
NPI assigned
Mar 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Authorized official

Name
Dr. Juan Carlos Jaramillo, PT, DPT, COMTNPI 1063748010
Title
Owner
Phone
(509) 954-2653

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 60308900011 WA Primary

Addresses

Primary practice location

623 W Garland Ave
Spokane, WA 99205-2956

Mailing address

623 W Garland Ave
Spokane, WA 99205-2956
Phone (509) 209-9488

Other names 1

  • Cornerstone Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120912000846 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9830347020 Receives reassigned benefits from 8 practitioners
Practice locations: Spokane, WA

National Provider Directory

National Provider Directory

Locations

623 W Garland Ave
Spokane, WA 99205
Phone (509) 209-9488

Practitioners & affiliated clinicians

Practitioners 12

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": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1093080004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052956",
            "telephone_number": "509-209-9488",
            "fax_number": "509-209-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052956",
            "telephone_number": "509-209-9488",
            "fax_number": "509-209-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARAMILLO PHYSICAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "JARAMILLO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-954-2653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, COMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "60308900011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cornerstone Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.