Individual provider Active NPI

Rory Micheal Fletcher, DPT

  • Physical Therapist
  • Pullman, WA
National Provider Identifier
1346473063
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60039293 Issued in WA
Practice address
405 NE Stadium Way
Pullman, WA 99163-3825
Phone
(509) 338-0650
Fax
(509) 338-0654
NPI assigned
Aug 27, 2009
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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 PT60039293 WA Primary

Addresses

Primary practice location

405 NE Stadium Way
Pullman, WA 99163-3825

Mailing address

872 Troy Rd
Suite 180
Moscow, ID 83843-4046
Phone (208) 882-1426

Other practice location 1

872 Troy Rd
Suite 180
Moscow, ID 83843-4046
Phone (208) 882-1426

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250509000970 WA Practitioner - Physical Therapist in Private Practice 4284772369 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60039293WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District #1-a of Whitman County CurrentSince Apr 1, 2025 Accepting new patients
Public Hospital District #1-a of Whitman County Past Accepting new patients
Public Hospital District #1-a of Whitman County Physical Therapist PastSince Jul 13, 2025 Accepting new patients
Public Hospital District # 1-a Past Accepting new patients

Locations

405 NE Stadium Way
Pullman, WA 99163
Phone (509) 338-0650

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

840 SE Bishop Blvd
Ste 103
Pullman, WA 99163
Phone (509) 336-7300

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1346473063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 TROY RD",
            "address_2": "SUITE 180",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838434046",
            "telephone_number": "208-882-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NE STADIUM WAY",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991633825",
            "telephone_number": "509-338-0650",
            "fax_number": "509-338-0654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "872 Troy Rd",
            "address_2": "Suite 180",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "ID",
            "postal_code": "838434046",
            "country_code": "US",
            "telephone_number": "208-882-1426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "RORY",
        "middle_name": "MICHEAL",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-27",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60039293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pullman, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.