Active NPI
Janet Louise Anspach-Rickey, P.T. DIPMDT
- Physical Therapist
- Kingston, WA
National Provider Identifier
1417955147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00003484
- Practice address
- 8202 NE State Highway 104
Suite 102, #40
Kingston, WA 98346-9454 - Phone
- (360) 638-1680
- Fax
- (360) 638-0299
- NPI assigned
- Jul 7, 2005
- Last updated
- Jan 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 00003484 | WA | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 00003484 | WA |
Addresses
Primary practice location
8202 NE State Highway 104
Suite 102, #40
Kingston, WA 98346-9454
Mailing address
30996 Old Hansville Rd NE
Kingston, WA 98346-9618
Phone (360) 638-1680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8383861 | Medicaid | WA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00003484 | WA | MD | Physical Therapist |
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": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200441600000",
"number": "1417955147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30996 OLD HANSVILLE RD NE",
"city": "KINGSTON",
"state": "WA",
"postal_code": "983469618",
"telephone_number": "360-638-1680",
"fax_number": "360-638-0299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8202 NE STATE HIGHWAY 104",
"address_2": "SUITE 102, #40",
"city": "KINGSTON",
"state": "WA",
"postal_code": "983469454",
"telephone_number": "360-638-1680",
"fax_number": "360-638-0299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANSPACH-RICKEY",
"first_name": "JANET",
"middle_name": "LOUISE",
"credential": "P.T. DIPMDT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2008-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "00003484",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WA",
"license": "00003484",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8383861",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.