Organization Active NPI

Linda Ditlev Kozora PT Inc

Doing business as WaveLength Phsycial Therapy

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1316207426
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00003514 Issued in WA
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.