Individual provider Active NPI

Dan Tarasov, PTA

  • Physical Therapy Assistant
  • Spokane Valley, WA
National Provider Identifier
1235028077
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
61351858 Issued in WA
Practice address
8815 E Mission Ave Ste a
Spokane Valley, WA 99212-5039
Phone
(509) 217-3898
NPI assigned
Jun 28, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 61351858 WA Primary

Addresses

Primary practice location

8815 E Mission Ave Ste a
Spokane Valley, WA 99212-5039

Mailing address

8815 E Mission Ave
Suite a
Spokane Valley, WA 99212-5039
Phone (509) 444-5678

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

State licenses

LicenseStateTypeSpecialty
61351858WAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Rehabilitation Associates, PLLC CurrentSince Jun 29, 2025 Accepting new patients

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": "1751068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751068800000",
    "number": "1235028077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 E MISSION AVE",
            "address_2": "SUITE A",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992125039",
            "telephone_number": "509-444-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 E MISSION AVE STE A",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992125039",
            "telephone_number": "509-217-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARASOV",
        "first_name": "DAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-28",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "61351858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; 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.