Active NPI
Jeanne Dawn West, PTA
- Physical Therapy Assistant
- Hoquiam, WA
National Provider Identifier
1265288187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 60045864
- Practice address
- 201 7TH St
Hoquiam, WA 98550-2506 - Phone
- (360) 532-5454
- NPI assigned
- Apr 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 60045864 | WA | Primary |
Addresses
Primary practice location
201 7TH St
Hoquiam, WA 98550-2506
Mailing address
PO Box 604
Ocean Park, WA 98640-0604
Phone (360) 269-5253
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60045864 | WA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbors Home Health & Hospice | Past | Accepting new patients | |
| Harbors Home Health & Hospice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community Based Hospice Care Agency
- Hoquiam, WA
- NPI 1093870487
-
- Home Health Agency
- Hoquiam, WA
- NPI 1699777276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1265288187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 604",
"city": "OCEAN PARK",
"state": "WA",
"postal_code": "986400604",
"telephone_number": "360-269-5253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 7TH ST",
"city": "HOQUIAM",
"state": "WA",
"postal_code": "985502506",
"telephone_number": "360-532-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "JEANNE",
"middle_name": "DAWN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-30",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WA",
"license": "60045864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hoquiam, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.