Individual provider Active NPI

Jon R. Filkowski

  • Physical Therapist
  • Richland, WA
National Provider Identifier
1366793929
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00010259 Issued in WA
Practice address
702 Jadwin Ave
Suite a
Richland, WA 99352-4256
Phone
(509) 946-9007
Fax
(509) 946-9755
NPI assigned
Sep 24, 2012
Last updated
Sep 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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 PT00010259 WA Primary

Addresses

Primary practice location

702 Jadwin Ave
Suite a
Richland, WA 99352-4256

Mailing address

702 Jadwin Ave
Suite a
Richland, WA 99352-4256
Phone (509) 946-9007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Physical Therapy LLC PastSince May 15, 2005 Accepting new patients

Organizations & group practices 1

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": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1366793929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 JADWIN AVE",
            "address_2": "SUITE A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524256",
            "telephone_number": "509-946-9007",
            "fax_number": "509-946-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 JADWIN AVE",
            "address_2": "SUITE A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524256",
            "telephone_number": "509-946-9007",
            "fax_number": "509-946-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILKOWSKI",
        "first_name": "JON",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.