Inna Kondratiuk, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

60638081 Issued in WA

Practice address

1224 E Westview CT
Spokane, WA 99218-3813

Phone

(509) 465-8800

NPI assigned

Dec 19, 2018

Last updated

Dec 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Inna Kravchuk Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1275005076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 N OLD TRAILS RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992249549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 E WESTVIEW CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992183813",
            "telephone_number": "509-465-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2219 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Cheney",
            "state": "WA",
            "postal_code": "990042171",
            "country_code": "US",
            "telephone_number": "509-235-6196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONDRATIUK",
        "first_name": "INNA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "60638081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INNA",
            "last_name": "KRAVCHUK",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Valerie Kolokoff, MD
• Russell L Kolts, PH.D.
• Katherine L Koncz, PA-C
• Louis Koncz, PA-C
• Michael E. Kondo, DDS
• Crystal Gina Konkright
• Stephen Kononovich
• Don J Konovsky Jr., MD
• Ashleigh Solak Konter, M.S CCC-SLP
• Lisa A Koohns

• Physical Therapy Assistant in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.