Active NPI
Ann Christine Powell, CTRS, BS
- Recreation Therapist
- Spokane, WA
National Provider Identifier
1184066730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- RE60042849
- Practice address
- 4727 S Assembly Rd
Spokane, WA 99224-5925 - Phone
- (509) 747-0787
- NPI assigned
- Jul 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | RE60042849 | WA | Primary |
Addresses
Primary practice location
4727 S Assembly Rd
Spokane, WA 99224-5925
Mailing address
4727 S Assembly Rd
Spokane, WA 99224-5925
Phone (509) 747-0787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RE60042849 | WA | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1184066730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4727 S ASSEMBLY RD",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992245925",
"telephone_number": "509-747-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4727 S ASSEMBLY RD",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992245925",
"telephone_number": "509-747-0787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "ANN",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "CTRS, BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-24",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "WA",
"license": "RE60042849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.