Individual provider Active NPI

Sierra Schimmels, PT, DPT

  • Physical Therapist
  • Spokane Valley, WA
National Provider Identifier
1275106510
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61199612 Issued in WA
Practice address
325 S University Rd Ste 101
Spokane Valley, WA 99206-6164
Phone
(509) 921-9798
Fax
(509) 921-9774
NPI assigned
Jul 23, 2021
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT61199612 WA Primary

Addresses

Primary practice location

325 S University Rd Ste 101
Spokane Valley, WA 99206-6164

Mailing address

325 S University Rd Ste 101
Spokane Valley, WA 99206-6164
Phone (509) 921-9798

Other identifiers 1

IdentifierTypeStateIssuer
1275106510MedicaidWA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT61199612WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Physical Therapy, LLC Physical Therapist PastSince Oct 13, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1275106510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S UNIVERSITY RD STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066164",
            "telephone_number": "509-921-9798",
            "fax_number": "509-921-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S UNIVERSITY RD STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066164",
            "telephone_number": "509-921-9798",
            "fax_number": "509-921-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIMMELS",
        "first_name": "SIERRA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61199612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275106510",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.