NPIMap

Organization Active NPI

Biomechanical Sports Therapy, Inc

  • Physical Therapist
  • Wenatchee, WA
National Provider Identifier
1306058979
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BIOMECHANICAL SPORTS THERAPY, INC
Practice address
18 N Worthen St
Suite 200
Wenatchee, WA 98801-6137
Phone
(509) 665-3156
Fax
(509) 665-0414
NPI assigned
May 4, 2007
Last updated
Mar 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Rachel Holloway
Title
Office Manager
Phone
(509) 665-3156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X WA Primary

Addresses

Primary practice location

18 N Worthen St
Suite 200
Wenatchee, WA 98801-6137

Mailing address

18 N Worthen St
Suite 200
Wenatchee, WA 98801-6137
Phone (509) 665-3156

Other identifiers 2

IdentifierTypeStateIssuer
7097785MedicaidWA
0122973OtherWALABOR & INDUSTRIES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040608001315 WA Part B Supplier - Clinic/Group Practice 8224011507 Receives reassigned benefits from 14 practitioners
Practice locations: Wenatchee, WA

National Provider Directory

National Provider Directory

Locations

18 N Worthen St
Ste 200
Wenatchee, WA 98801
Phone (509) 665-3156

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1306058979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N WORTHEN ST",
            "address_2": "SUITE 200",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016137",
            "telephone_number": "509-665-3156",
            "fax_number": "509-665-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N WORTHEN ST",
            "address_2": "SUITE 200",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016137",
            "telephone_number": "509-665-3156",
            "fax_number": "509-665-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOMECHANICAL SPORTS THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-665-3156"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7097785",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0122973",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.