Mind Door, LLC

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

Legal business name

MIND DOOR, LLC

Practice address

7401 W Hood PL Ste 210
Kennewick, WA 99336-3400

Phone

(509) 557-0373

NPI assigned

Jan 27, 2021

Last updated

Feb 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Irene Luc, PT, DPT

Title

Owner

Phone

(314) 504-2457

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1366033961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 W HOOD PL STE 210",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363400",
            "telephone_number": "509-557-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 W HOOD PL STE 210",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363400",
            "telephone_number": "509-557-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND DOOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "LUC",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-504-2457",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crytal Lee Miller
• Heather Miller, D.P.T.
• Michael Edward Miller, DPT
• Suzanne Miller, LMP
• Kathy R Mills-George
• Mindful Psychiatry, PLLC
• Joshua Miachael Miner, RN
• Ashley L Mings, LMP
• Jose Jesus Miramontes, INTERPRETER
• Laura Miramontes, M.S

• Neurology Physical Therapist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Neurology Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.