Individual provider Active NPI

Kiara Connie Abrams, DPT

  • Physical Therapist
  • Liberty Lake, WA
National Provider Identifier
1336901487
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61447345 Issued in WA
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

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 aGroup PAC ID 3678465234, 13 clinicians

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

LicenseStateTypeSpecialty
27137MTMDPhysical Therapist
61447345WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake City Physical Therapy P a Physical Therapist CurrentSince Jun 5, 2024 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.

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.

Verify at the official NPI Registry.