Active NPI
Steven James Quinlan, DPT
- Physical Therapist
- Yakima, WA
National Provider Identifier
1164063467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61004098
- Practice address
- 111 S 11TH Ave Ste 320
Yakima, WA 98902-3273 - Phone
- (509) 454-8888
- NPI assigned
- Oct 8, 2019
- Sex
- Male
- 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 | PT61004098 | WA | Primary |
Addresses
Primary practice location
111 S 11TH Ave Ste 320
Yakima, WA 98902-3273
Mailing address
PO Box 2309
Yakima, WA 98907-2309
Phone (509) 454-8888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT61004098 | Other | WA | WASHINGTON STATE PT LICENSE |
| 2142382 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 S 11TH Ave
Suite 320
Yakima, WA 98902-3273
Phone (509) 454-8888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Orthopedics Northwest PLLC | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients |
Locations
1211 N 16th Ave
Yakima, WA 98902
Phone (509) 248-7184
111 S 11th Ave
Ste 320
Yakima, WA 98902
Phone (509) 248-7184
2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1306933940
-
- Orthopaedic Surgery Physician
- Yakima, WA
- NPI 1528034030
-
- Orthopaedic Surgery Physician
- Yakima, WA
- NPI 1154015592
-
- Durable Medical Equipment & Medical Supplies
- Yakima, WA
- NPI 1366325870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1164063467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2309",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989072309",
"telephone_number": "509-454-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 11TH AVE STE 320",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023273",
"telephone_number": "509-454-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINLAN",
"first_name": "STEVEN",
"middle_name": "JAMES",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-08",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61004098",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE PT LICENSE",
"identifier": "PT61004098",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2142382",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.