Individual provider Active NPI

Paula Marie Stiles, P.T.

  • Physical Therapist
  • Liberty Lake, WA
National Provider Identifier
1285748798
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008225 Issued in WA
Practice address
23403 E Mission Ave Ste 100a
Liberty Lake, WA 99019-7601
Phone
(509) 990-4583
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1678 ID
Physical Therapist 225100000X PT00008225 WA Primary

Addresses

Primary practice location

23403 E Mission Ave Ste 100a
Liberty Lake, WA 99019-7601

Mailing address

21675 E Mill River LN
Liberty Lake, WA 99019-7696
Phone (509) 990-4583

Other practice location 1

2025 E 29th Ave
Spokane, WA 99203-3957
Phone (509) 990-4583

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
PT1678IDMDPhysical Therapist
PT00008225WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fit for Your Life Physical Therapy and Wellness LLC Physical Therapist Past Accepting new patients
River City Physical Therapy Physical Therapist PastSince Sep 14, 1995 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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1285748798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21675 E MILL RIVER LN",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197696",
            "telephone_number": "509-990-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23403 E MISSION AVE STE 100A",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197601",
            "telephone_number": "509-990-4583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 E 29th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992033957",
            "country_code": "US",
            "telephone_number": "509-990-4583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILES",
        "first_name": "PAULA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT1678",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 15, 2020; 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.