William Edward Drake, M.ED ATC AT/L

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A160047424 Issued in WA

Practice address

502 E Boone Ave
Spokane, WA 99258-0066

Phone

(509) 313-4267

NPI assigned

May 11, 2018

Last updated

May 11, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Therapeutic Associates Inc

  dba TAI - Physical Therapy @ Gonzaga University

  • Physical Therapist
  • Spokane, WA
  • NPI 1912456054
  NPD (past)

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1396235636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E BOONE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992580066",
            "telephone_number": "509-313-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E BOONE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992580066",
            "telephone_number": "509-313-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "credential": "M.ED ATC AT/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A160047424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Lynn Drake, AAS, BC-HIS
• Daniel William Drake
• Geoffrey Smith Drake, RN
• Jenny Drake
• Michelle Renee Drake, PHD
• Darren Lee Draney, SUDPT
• Michael Draney, D.O.
• Tamara Drapeau, LMP, CPFT
• Christian Spencer Draper, MD
• DRDP, PLLC

• Athletic Trainer in Spokane, WA
• Providers in Spokane, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.