Organization Active NPI

Mt. Stuart P.T., P.S.

  • Physical Therapist
  • Leavenworth, WA
National Provider Identifier
1295805737
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MT. STUART P.T., P.S.
Practice address
10171A Chumstick Hwy
Leavenworth, WA 98826-8762
Phone
(509) 548-3133
Fax
(509) 548-5356
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Authorized official

Name
Ms. Claudia Ann Carani
Title
Office Manager
Phone
(509) 548-3133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X WA Primary

Addresses

Primary practice location

10171A Chumstick Hwy
Leavenworth, WA 98826-8762

Mailing address

10171A Chumstick Hwy
Leavenworth, WA 98826-8762
Phone (509) 548-3133

Other identifiers 1

IdentifierTypeStateIssuer
7105752MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414000769 WA Part B Supplier - Clinic/Group Practice 9335133016 Receives reassigned benefits from 5 practitioners
Practice locations: Leavenworth, WA

National Provider Directory

National Provider Directory

Locations

10171 Chumstick Hwy
Ste 1
Leavenworth, WA 98826
Phone (509) 548-3133

10171 Chumstick Hwy
#A
Leavenworth, WA 98826
Phone (509) 548-3133

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1295805737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10171A CHUMSTICK HWY",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988268762",
            "telephone_number": "509-548-3133",
            "fax_number": "509-548-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10171A CHUMSTICK HWY",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988268762",
            "telephone_number": "509-548-3133",
            "fax_number": "509-548-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. STUART P.T., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "CARANI",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-548-3133",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7105752",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.