NPIMap

Organization Active NPI

Columbia Rehab and Pain Inc

  • Rehabilitation Practitioner
  • Kennewick, WA
National Provider Identifier
1124209838
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
MD00041323 Issued in WA
Legal business name
COLUMBIA REHAB AND PAIN INC
Practice address
6917 W Grandridge Blvd Ste B
Kennewick, WA 99336
Phone
(509) 627-2848
Fax
(509) 627-2849
NPI assigned
Nov 21, 2007
Last updated
Dec 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Mrs. Jean You, MDNPI 1184660029
Title
Physician
Phone
(509) 627-2848

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
Rehabilitation Practitioner 225400000X MD00041323 WA Primary

Addresses

Primary practice location

6917 W Grandridge Blvd Ste B
Kennewick, WA 99336

Mailing address

6917 W Grandridge Blvd Ste B
Kennewick, WA 99336
Phone (509) 627-2848

Other identifiers 1

IdentifierTypeStateIssuer
1116482MedicaidWA

National Provider Directory

National Provider Directory

Locations

560 Gage Blvd
Ste 205
Richland, WA 99352
Phone (509) 627-2848

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1124209838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 W GRANDRIDGE BLVD STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-627-2848",
            "fax_number": "509-627-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 W GRANDRIDGE BLVD STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-627-2848",
            "fax_number": "509-627-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA REHAB AND PAIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "YOU",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "509-627-2848",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "WA",
            "license": "MD00041323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1116482",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.