Active NPI
Diana Lynn Smith, PHYSICAL THERAPIST
- Physical Therapist
- Liberty Lake, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00007834
- Practice address
- 23327 East Appleway
Ste 160
Liberty Lake, WA 99019-5038 - Phone
- (509) 891-2258
- Fax
- (509) 891-2094
- NPI assigned
- Aug 1, 2006
- Last updated
- Nov 3, 2010
- 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 Therapist | 225100000X | PT00007834 | WA | Primary |
Addresses
Primary practice location
23327 East Appleway
Ste 160
Liberty Lake, WA 99019-5038
Mailing address
11481 SW Hall Blvd
Ste 201
Portland, OR 97223-8403
Phone (800) 219-8835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275549891 | Medicaid | WA |
Other names 1
- Miss Diana Lynn Keast
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
407 E 2ND Ave
Suite 100
Spokane, WA 99202-1428
Phone (509) 455-6002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00007834 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Rehabilitation Associates, PLLC | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Advanced Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Lake City Physical Therapy P a | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Summit Rehab Valley Corporation | Physical Therapist | Past | Accepting new patients |
Locations
407 E 2nd Ave
Ste 100
Spokane, WA 99202
Phone (509) 455-6002
9911 N Nevada St
Ste A
Spokane, WA 99218
Phone (509) 327-1578
Organizations & group practices 6
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.
-
- Physical Therapist
- Spokane, WA
- NPI 1467571513
-
- Physical Therapist
- Spokane, WA
- NPI 1588810659
-
- Physical Therapist
- Spokane Valley, WA
- NPI 1932243425
-
- Physical Therapist
- Anchorage, AK
- NPI 1437214459
-
dba TAI Cedar Hills Physical Therapy
- Physical Therapist
- Portland, OR
- NPI 1700862000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1275549891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11481 SW HALL BLVD",
"address_2": "STE 201",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238403",
"telephone_number": "800-219-8835",
"fax_number": "503-443-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23327 EAST APPLEWAY",
"address_2": "STE 160",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990195038",
"telephone_number": "509-891-2258",
"fax_number": "509-891-2094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DIANA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00007834",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275549891",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "KEAST",
"middle_name": "LYNN",
"prefix": "MISS",
"credential": "PHYSICAL THERAPIST",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Liberty Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.