Northside Physical Therapy PS

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NORTHSIDE PHYSICAL THERAPY PS

Practice address

6821 N Country Homes Blvd
Suite 102
Spokane, WA 99208-4372

Phone

(509) 325-6776

Fax

(509) 325-0817

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Deborah A Peterson, PTNPI 1346200367

Title

Owner PT

Phone

(509) 325-6776

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• Deborah A Peterson, P.T.

  • Physical Therapist
  • Spokane, WA
  • NPI 1346200367
  NPD (past) Authorized official

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1295818748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 N COUNTRY HOMES BLVD",
            "address_2": "SUITE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084372",
            "telephone_number": "509-325-6776",
            "fax_number": "509-325-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 N COUNTRY HOMES BLVD",
            "address_2": "SUITE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084372",
            "telephone_number": "509-325-6776",
            "fax_number": "509-325-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE PHYSICAL THERAPY PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PT",
        "authorized_official_telephone_number": "509-325-6776",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA3797",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "GAB37902",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7027386",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0038860",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northridge Compassion Care, LLC
• Karl K Northrup Jr., DDS
• Northside Family Medicine, P.S.
• Northside Family Physicians
• Northside Internal Medicine Associates PS
• Northside Physical Therapy, PS
• Northside Vision Center, P.S.
• Northview Family Dental, PLLC
• Northwest Autism Center
• Northwest Behavioral Health Clinic

• Physical Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.