Rebecca L Pagotelis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00007987 Issued in WA

Practice address

23327 East Appleway
Suite 106
Liberty Lake, WA 99019-5038

Phone

(509) 891-2258

Fax

(509) 891-2094

NPI assigned

Dec 27, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Miss Rebecca L Holm Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Deer Park Physical Therapy Inc

  • Physical Therapist
  • Deer Park, WA
  • NPI 1306903182
  Medicare reassignment NPD
• Gordon Physical Therapy, PLLC

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1265585335
  Medicare reassignment NPD
• A and B Physical Therapy PLLC

  • Physical Therapist
  • Spokane, WA
  • NPI 1750411690
  NPD (past)
• Paula K. Mays

  • Physical Therapist
  • Spokane, WA
  • NPI 1336200757
  NPD (past)
• Summit Rehab Valley Corporation

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1932243425
  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Bothell, WA
  • NPI 1114376563
  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1144042649
  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1700862000
  NPD (past)

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1225015753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11481 SW HALL BLVD",
            "address_2": "STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238403",
            "telephone_number": "800-219-8835",
            "fax_number": "503-443-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23327 EAST APPLEWAY",
            "address_2": "SUITE 106",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990195038",
            "telephone_number": "509-891-2258",
            "fax_number": "509-891-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGOTELIS",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007987",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5138",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "RPT1677",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8438046",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225015753",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "HOLM",
            "middle_name": "L",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Renee Olmstead, DDS
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• Osborne Chiropractic PLLC
• Daniel J Osborne, DC
• Debbie D Panther, PT
• Paul a Ramos
• Joseph L Paventy, DMD
• Stephanie Morbeck Persondek, DO
• Geraldine Anne Peterdy, MD

• Physical Therapist in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.