Jake Ryan Allstot, PTA
Individual provider Active NPI Physical Therapy Assistant · Spokane Valley, WA
NPI 1376748152 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376748152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA-2143 (ID)
- Practice address
- 601 S Park Rd Ste 1
Spokane Valley, WA 99212-4517 - Phone
- (509) 921-7818
- NPI assigned
- Jun 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-2143 | ID | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Therapy Resources, P.S. | Physical Therapy Assistant | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA-2143 | ID | Yes |
Addresses
Primary practice location
601 S Park Rd Ste 1
Spokane Valley, WA 99212-4517
Mailing address
715 S Lincoln St Apt 202S
Spokane, WA 99204-2936
Phone (509) 869-8741
Other providers in Spokane Valley, WA
- Heather Dawn Allen
- Sidney-Jon Allen
- Abigail Kathleen Allison
- Allowing Change LLC
- Adriane Lillis Allred
- Alpine Orthopaedic and Spine a Professional Corporation
- Melody Ann Altman
- Merry M Alto
- Andrey V Altukhov
- Gisselle Alvarado
All providers in Spokane Valley, WA · Physical Therapy Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.