Active NPI
Linda Ditlev Kozora PT Inc
Doing business as WaveLength Phsycial Therapy
- Physical Therapist
- Spokane, WA
National Provider Identifier
1316207426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00003514
- Legal business name
- LINDA DITLEV KOZORA PT INC
- Doing business as
- WaveLength Phsycial Therapy
- Practice address
- 621 W Mallon Ave # 606
Spokane, WA 99201-2163 - Phone
- (509) 325-1977
- NPI assigned
- May 22, 2012
- Last updated
- May 22, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dawnitta D Schell
- Title
- Business Manager
- Phone
- (509) 325-1977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00003514 | WA | Primary |
Addresses
Primary practice location
621 W Mallon Ave # 606
Spokane, WA 99201-2163
Mailing address
120 W Buckeye Ave
Spokane, WA 99205-3117
Phone (509) 325-1977
Other names 1
- WaveLength Phsycial Therapy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337644800000",
"number": "1316207426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W BUCKEYE AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992053117",
"telephone_number": "509-325-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 W MALLON AVE # 606",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012163",
"telephone_number": "509-325-1977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDA DITLEV KOZORA PT INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-22",
"last_updated": "2012-05-22",
"status": "A",
"authorized_official_last_name": "SCHELL",
"authorized_official_first_name": "DAWNITTA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "509-325-1977"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00003514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WaveLength Phsycial Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.