PT Northwest of Longview Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PT NORTHWEST OF LONGVIEW INC

Practice address

500 Columbia St Ste C
Woodland, WA 98674-8491

Phone

(360) 225-5292

Fax

(360) 225-6097

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Daniel Lee Hughes, DPT

Title

Ceo

Phone

(360) 423-9535

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1376607333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 3RD AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323229",
            "telephone_number": "360-423-9535",
            "fax_number": "360-414-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COLUMBIA ST STE C",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986748491",
            "telephone_number": "360-225-5292",
            "fax_number": "360-225-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT NORTHWEST OF LONGVIEW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-423-9535",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7072184",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DC3748",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Robert Oliver
• Amanda Kay Olmsted
• Debra Lynn Owen, CNA
• Pearson Medical Clinic PLLC
• Joanne Przygoda
• Samantha Eden Riley, PTA
• Donna Roberts
• Acacia Marie Rockett, RN
• Sandra D Rojas, CCC-SLP
• Ronald S. Gerne DC PS

• Physical Therapist in Woodland, WA
• Providers in Woodland, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.