Randy L Lindsey PT at C Inc PS

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RANDY L LINDSEY PT AT C INC PS

Doing business as

Colville Physical Therapy

Practice address

217 E 2ND Ave
Colville, WA 99114-2903

Phone

(509) 684-5027

Fax

(509) 684-6133

NPI assigned

Jul 24, 2006

Organization subpart

Yes

Parent organization

RANDY L LINDSEY PT AT C INC PSAs reported in NPPES

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

Authorized official

Name

Carol Bradeen

Title

Owner

Phone

(509) 991-1326

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Colville Physical Therapy Doing business as

Part of

Randy L Lindsey PT Atc Inc

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1235151986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E 2ND AVE",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142903",
            "telephone_number": "509-684-5027",
            "fax_number": "509-684-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E 2ND AVE",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142903",
            "telephone_number": "509-684-5027",
            "fax_number": "509-684-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY L LINDSEY PT AT C INC PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RANDY L LINDSEY PT AT C INC PS",
        "enumeration_date": "2006-07-24",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "BRADEEN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-991-1326"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0178076",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235151986",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colville Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angel R Rae
• Brieann Rajewski
• Diana Marie Rambow
• Kiera I Rancourt
• Moriah D Rancourt
• Stephanie Rae Raskin
• Kathy A Rathbun
• Samantha L Reece
• Dawn Lynette Reed
• Audrey M Reese, LPN, RC

• Physical Therapist in Colville, WA
• Providers in Colville, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.