Northside Physical Therapy, PS

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NORTHSIDE PHYSICAL THERAPY, PS

Practice address

6821 N Country Homes Blvd
Suite 102
Spokane, WA 99208-4372

Phone

(509) 325-6776

Fax

(509) 325-0817

NPI assigned

Mar 20, 2006

Last updated

Mar 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Deborah A. Peterson, PTNPI 1346200367

Title

Owner

Phone

(509) 325-6776

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah A Peterson, P.T.

  • Physical Therapist
  • Spokane, WA
  • NPI 1346200367
  Authorized official Same address or phone

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1235198151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 N COUNTRY HOMES BLVD",
            "address_2": "SUITE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084372",
            "telephone_number": "509-325-6776",
            "fax_number": "509-325-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 N COUNTRY HOMES BLVD",
            "address_2": "SUITE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084372",
            "telephone_number": "509-325-6776",
            "fax_number": "509-325-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE PHYSICAL THERAPY, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-325-6776",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl K Northrup Jr., DDS
• Northside Family Medicine, P.S.
• Northside Family Physicians
• Northside Internal Medicine Associates PS
• Northside Physical Therapy PS
• Northside Vision Center, P.S.
• Northview Family Dental, PLLC
• Northwest Autism Center
• Northwest Behavioral Health Clinic
• Northwest Cardiac and Vascular Imaging, LLC

• Physical Therapist in Spokane, WA
• Providers in Spokane, 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 19, 2008; 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.