Individual provider Active NPI

Nicholas Bushman, DPT

  • Physical Therapist
  • Kennewick, WA
National Provider Identifier
1316613565
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61143064 Issued in WA
Practice address
7513 W Kennewick Ave Ste a
Kennewick, WA 99336-7764
Phone
(509) 735-4343
NPI assigned
Aug 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT61143064 WA Primary

Addresses

Primary practice location

7513 W Kennewick Ave Ste a
Kennewick, WA 99336-7764

Mailing address

7513 W Kennewick Ave Ste a
Kennewick, WA 99336-7764
Phone (509) 735-4343

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210930000804 WA Practitioner - Physical Therapist in Private Practice 1355748583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Physical Therapy Inc PSGroup PAC ID 6305747643, 44 clinicians

Practice addresses (Care Compare)

35 S Louisiana St
Suite A140
Kennewick, WA 99336-8632
Phone (509) 582-0429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gale Physical Therapy & Sports Rehabilitation Center Inc Physical Therapist CurrentSince Sep 10, 2021 Accepting new patients
Columbia Physical Therapy Inc PS Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients

Locations

7201 W Clearwater Ave
Ste B101
Kennewick, WA 99336
Phone (509) 544-0265

35 S Louisiana St
Ste A140
Kennewick, WA 99336
Phone (509) 582-0429

7513 W Kennewick Ave
Ste A
Kennewick, WA 99336
Phone (509) 735-4343

1624 W Court St
Pasco, WA 99301

343 Wellsian Way
Richland, WA 99352
Phone (509) 547-3673

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1316613565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7513 W KENNEWICK AVE STE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367764",
            "telephone_number": "509-735-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7513 W KENNEWICK AVE STE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367764",
            "telephone_number": "509-735-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHMAN",
        "first_name": "NICHOLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61143064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.