Active NPI
Bryce E Schwendiman, MPT
- Physical Therapist
- Spokane, WA
National Provider Identifier
1194894220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00008458
- Practice address
- 1403 S Grand Blvd
Suite #102-S
Spokane, WA 99203-2263 - Phone
- (509) 624-4200
- Fax
- (509) 624-2817
- NPI assigned
- Nov 6, 2006
- 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 | PT00008458 | WA | Primary |
Addresses
Primary practice location
1403 S Grand Blvd
Suite #102-S
Spokane, WA 99203-2263
Mailing address
1403 S Grand Blvd
Ste 102S
Spokane, WA 99203-2272
Phone (509) 659-5408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8343659 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A and B Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
Locations
3017 E Francis Ave
Ste 102
Spokane, WA 99208
Phone (509) 465-9000
1403 S Grand Blvd
Ste 102S
Spokane, WA 99203
Phone (509) 624-4200
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.
-
- Physical Therapist
- Spokane, WA
- NPI 1750411690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465171200000",
"number": "1194894220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 S GRAND BLVD",
"address_2": "STE 102S",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992032272",
"telephone_number": "509-659-5408",
"fax_number": "509-659-1252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1403 S GRAND BLVD",
"address_2": "SUITE #102-S",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992032263",
"telephone_number": "509-624-4200",
"fax_number": "509-624-2817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWENDIMAN",
"first_name": "BRYCE",
"middle_name": "E",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2016-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00008458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8343659",
"state": "WA"
}
],
"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 Jun 6, 2016; 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.