Robert Prandi, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

00006335 Issued in WA

Practice address

2700 Colonial Dr Apt 305
Centralia, WA 98531-8858

Phone

(360) 330-9346

Fax

(360) 330-9347

NPI assigned

Mar 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Pacific Medical College, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scammon Creek Physical Therapy PSGroup PAC ID 6901989060, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Scammon Creek Physical Therapy, PS

  • Physical Therapy Clinic/Center
  • Centralia, WA
  • NPI 1174709802
  Medicare reassignment Care Compare group NPD Authorized official
• Scammon Creek Physical Therapy

  • Physical Therapy Clinic/Center
  • Centralia, WA
  • NPI 1164561775
  NPD Authorized official

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1164554614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383",
            "city": "LITTLEROCK",
            "state": "WA",
            "postal_code": "985560383",
            "telephone_number": "360-330-9346",
            "fax_number": "360-330-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 COLONIAL DR APT 305",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985318858",
            "telephone_number": "360-330-9346",
            "fax_number": "360-330-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRANDI",
        "first_name": "ROBERT",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "00006335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Poppe, MOT
• Cindi Michele Porter, AAC
• Heather Anne Powell, BS, RD, CD
• Cassie L Powers, R.N.
• Marnie Prandi, MSPT
• Elliot Paul Pratt
• Lisa Susan Prazak, SLP
• Premere Rehab LLC
• Joseph Prentice, MD
• James G Prestridge, D.P.M

• 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 Mar 4, 2008; 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.

Verify at the official NPI Registry.