NPIMap

Organization Active NPI

Inland Empire Therapy Associates LLC

Doing business as Empire Pediatric Therapy

  • Occupational Therapist
  • Spokane, WA
National Provider Identifier
1346630035
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT60269905 Issued in WA
Legal business name
INLAND EMPIRE THERAPY ASSOCIATES LLC
Doing business as
Empire Pediatric Therapy
Practice address
501 S Bernard St Ste 100
Spokane, WA 99204-2511
Phone
(509) 701-7651
Fax
(509) 279-2636
NPI assigned
Feb 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Maile K Mohsenian, OTNPI 1861744922
Title
Owner, Provider
Phone
(509) 701-7651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT60223038 WA
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT60269905 WA Primary

Addresses

Primary practice location

501 S Bernard St Ste 100
Spokane, WA 99204-2511

Mailing address

501 S Bernard St Ste 100
Spokane, WA 99204-2511
Phone (509) 701-7651

Other names 1

  • Empire Pediatric Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150929001473 WA Part B Supplier - Clinic/Group Practice 4880902642 Receives reassigned benefits from 13 practitioners
Practice locations: Spokane, WA

National Provider Directory

National Provider Directory

Locations

501 S Bernard St
Ste 100
Spokane, WA 99204
Phone (509) 701-7651

2527 E 27th Ave
Ste 100
Spokane, WA 99223
Phone (509) 701-7651

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1346630035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S BERNARD ST STE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042511",
            "telephone_number": "509-701-7651",
            "fax_number": "509-279-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S BERNARD ST STE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042511",
            "telephone_number": "509-701-7651",
            "fax_number": "509-279-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EMPIRE THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "MOHSENIAN",
        "authorized_official_first_name": "MAILE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "509-701-7651",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60223038",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60269905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empire Pediatric 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 Apr 20, 2022; 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.