Northwest Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT00003554 Issued in WA

Legal business name

NORTHWEST PHYSICAL THERAPY, INC

Practice address

1211 N 16TH Ave
Yakima, WA 98902-1347

Phone

(509) 654-7678

Fax

(509) 654-7679

NPI assigned

Jul 27, 2007

Organization subpart

No

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

Authorized official

Name

Paul K Goebel, PT

Title

Owner

Phone

(509) 654-7678

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1093905952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E JACKSON AVE",
            "address_2": "SUITE 201",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263692",
            "telephone_number": "509-925-6220",
            "fax_number": "509-925-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N 16TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021347",
            "telephone_number": "509-654-7678",
            "fax_number": "509-654-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "GOEBEL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-654-7678",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00003554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7140320",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Asthma & Allergy Center
• Northwest Medical Center of Yakima, LLC
• Northwest Medical Clinic
• Northwest Neurosciences
• Northwest Nursing Consultants
• Northwest Spine Surgery, LLC
• Northwest Spine, PLLC
• Northwest Surgery Center
• Northwest Work Options
• Denton Cecil Norwood, M.S, ATC, AT/L

• Physical Therapy Clinic/Center in Yakima, WA
• Providers in Yakima, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.