Michael L Kistler, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008610 Issued in WA

Practice address

14 W Graves Rd Unit a
Spokane, WA 99218-2319

Phone

(509) 465-2139

Fax

(509) 465-2548

NPI assigned

Feb 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Washington Luna Care Physical Therapy LLC

  • Physical Therapist
  • Bellevue, WA
  • NPI 1346808052
  NPD
• Gordon Physical Therapy, PLLC

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1265585335
  NPD (past)
• Whitworth Physical Therapy, PS

  • Physical Therapist
  • Spokane, WA
  • NPI 1972557189
  NPD (past)

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1437123239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E FARWELL RD",
            "address_2": "SUITE 104",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99218",
            "telephone_number": "509-465-2139",
            "fax_number": "509-465-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 W GRAVES RD UNIT A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182319",
            "telephone_number": "509-465-2139",
            "fax_number": "509-465-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISTLER",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8335085",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Kishiyama, MD
• Komal Kishore
• Ryan L Kissell, CRNA
• Jane Bernadette Sibi Kissinger, BA
• Madison Anne Kissinger, PHARMD
• Joshua Raymond Kistner, D.O.
• Anne Marie Kitchens, D.C.
• Aveoleila Marie Kitiona
• Jason Josiah Kiu, DC
• John D. Kivle, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.