Individual provider Active NPI

Sophia Rice, PT, DPT

  • Physical Therapist
  • Vancouver, WA
National Provider Identifier
1184448847
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61564051 Issued in WA
Practice address
4201 NE 66TH Ave Ste 104
Vancouver, WA 98661-3078
Phone
(360) 258-1637
NPI assigned
Nov 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 61564051 WA Primary

Addresses

Primary practice location

4201 NE 66TH Ave Ste 104
Vancouver, WA 98661-3078

Mailing address

4201 NE 66TH Ave Ste 104
Vancouver, WA 98661-3078
Phone (360) 258-1637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241224000173 WA Practitioner - Physical Therapist in Private Practice 9537696992 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61564051WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boomerang Physical Therapy CurrentSince Dec 2, 2024 Accepting new patients

Locations

4201 NE 66th Ave
Ste 104
Vancouver, WA 98661
Phone (360) 254-4914

717 Grand Blvd
Vancouver, WA 98661
Phone (360) 258-1637

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1184448847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 NE 66TH AVE STE 104",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613078",
            "telephone_number": "360-258-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 NE 66TH AVE STE 104",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613078",
            "telephone_number": "360-258-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "SOPHIA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61564051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.