Summit Pacific Rehabilitation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SUMMIT PACIFIC REHABILITATION

Practice address

1509 Harrison Ave
Centralia, WA 98531-4568

Phone

(360) 736-0112

NPI assigned

Apr 1, 2009

Last updated

Apr 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Manning

Title

Pta

Phone

(360) 740-5192

Specialties & licenses 1

Addresses

Tax ID family

Summit Pacific Rehabilitation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Summit Pacific Rehabilitation

  • Skilled Nursing Facility
  • Puyallup, WA
  • NPI 1902040132
  NPD tax ID
• Summit Pacific Rehabilitation, LLC

  • Speech-Language Pathologist
  • Spokane, WA
  • NPI 1750334793
  NPD tax ID

Locations

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1174765523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 5TH AVE NW",
            "address_2": "SUITE 7",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 HARRISON AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314568",
            "telephone_number": "360-736-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PACIFIC REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "360-740-5192"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Stuart, RNC
• January Cleone Stumph Martinez, AAC
• Bryan Sturgill, AAC, CPC
• Kate Emily Stutz, PA-C
• Shawn Suessman
• Summit Speech and Language, LLC
• Jennifer Ryan Sund, SLP-CCC
• Paul K Sunderland, MD
• Tracy P Svoboda, APN
• Eric S Swanson, MD

• Skilled Nursing Facility in Centralia, WA
• Providers in Centralia, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.