Active NPI
Kiara Connie Abrams, DPT
- Physical Therapist
- Liberty Lake, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61447345
- Practice address
- 21651 E Country Vista Dr
Liberty Lake, WA 99019-7708 - Phone
- (509) 822-7834
- NPI assigned
- Jan 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 61447345 | WA | Primary |
| Physical Therapist | 225100000X | 27137 | MT |
Addresses
Primary practice location
21651 E Country Vista Dr
Liberty Lake, WA 99019-7708
Mailing address
21651 E Country Vista Dr
Liberty Lake, WA 99019-7708
Phone (509) 822-7834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240624000333 | WA | Practitioner - Physical Therapist in Private Practice | 0042753758 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lake City Physical Therapy P a
Practice addresses (Care Compare)
21651 E County Vista Dr
Suite E
Liberty Lake, WA 99019-7710
Phone (509) 822-7834
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27137 | MT | MD | Physical Therapist |
| 61447345 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake City Physical Therapy P a | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
2170 W Ironwood Center Dr
Ste B
Coeur D Alene, ID 83814
Phone (208) 667-1988
8238 N Government Way
Hayden, ID 83835
Phone (208) 762-2100
21651 E Country Vista Dr
Ste E
Liberty Lake, WA 99019
21651 E Country Vista Dr
Liberty Lake, WA 99019
Phone (509) 598-9402
Organizations & group practices 3
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.
-
- Physical Therapist
- Spokane, WA
- NPI 1588810659
-
- Physical Therapist
- Coeur D Alene, ID
- NPI 1952521411
-
- Physical Therapist
- Anchorage, AK
- NPI 1437214459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1336901487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21651 E COUNTRY VISTA DR",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990197708",
"telephone_number": "509-822-7834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21651 E COUNTRY VISTA DR",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990197708",
"telephone_number": "509-822-7834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMS",
"first_name": "KIARA",
"middle_name": "CONNIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-24",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "61447345",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "27137",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberty Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.