Organization Active NPI

Link Physical Therapy PLLC

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1255072393
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LINK PHYSICAL THERAPY PLLC
Practice address
2607 S Southeast Blvd Ste B211
Spokane, WA 99223-7614
Phone
(509) 443-4357
NPI assigned
Apr 5, 2022
Last updated
Apr 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Lisa Swanson, DPTNPI 1427482793
Title
Owner
Phone
(509) 995-0038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2607 S Southeast Blvd Ste B211
Spokane, WA 99223-7614

Mailing address

2607 S Southeast Blvd Ste B211
Spokane, WA 99223-7614
Phone (509) 443-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220511002606 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4981081031 Receives reassigned benefits from 3 practitioners
Practice locations: Spokane, WA

National Provider Directory

National Provider Directory

Locations

2607 S Southeast Blvd
Ste B211
Spokane, WA 99223
Phone (509) 443-4357

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1255072393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 S SOUTHEAST BLVD STE B211",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237614",
            "telephone_number": "509-443-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 S SOUTHEAST BLVD STE B211",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237614",
            "telephone_number": "509-443-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINK PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-995-0038",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 5, 2022; 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.