Central Washington Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CENTRAL WASHINGTON PHYSICAL THERAPY

Practice address

1127 Tieton Dr
Yakima, WA 98902-3851

Phone

(509) 469-7474

Fax

(509) 469-7575

NPI assigned

Jun 2, 2006

Last updated

Jan 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Michael Simmons, PTNPI 1760500342

Title

Ceo

Phone

(509) 469-7474

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Michael Simmons, PT

  • Physical Therapist
  • Yakima, WA
  • NPI 1760500342
  Medicare reassignment NPD Authorized official
• Michelle Gean Beardemphl, M.S., P.T.

  • Physical Therapist
  • Yakima, WA
  • NPI 1992775498
  NPD (past)
• Elizabeth A Brueggemann, MPT

  • Physical Therapist
  • Yakima, WA
  • NPI 1073655809
  NPD (past)
• Yoshiko Chomon, DPT

  • Physical Therapist
  • Seattle, WA
  • NPI 1770657413
  NPD (past)
• Raymond Johnston, PT, MPT

  • Physical Therapist
  • Lynnwood, WA
  • NPI 1558512046
  NPD (past)
• Roger E King

  • Physical Therapist
  • Wenatchee, WA
  • NPI 1053473579
  NPD (past)
• Jennifer Anne-Marie Ninnemann, MSPT

  • Physical Therapist
  • Yakima, WA
  • NPI 1972650547
  NPD (past)
• Justin Schober, MPT

  • Physical Therapist
  • Electric City, WA
  • NPI 1063678472
  NPD (past)
• Jonathan Thomas Suttles, MSPT

  • Physical Therapist
  • Ellensburg, WA
  • NPI 1558489146
  NPD (past)
• Colleen Nicole Barton, PT DPT

  • Physical Therapist
  • Tampa, FL
  • NPI 1053502682
  NPD (past)
• Heather J Cracower, PT

  • Physical Therapist
  • Burlington, VT
  • NPI 1134163835
  NPD (past)
• Lanae L Huang, P. T.

  • Physical Therapist
  • Peoria, IL
  • NPI 1801932496
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1437196771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023851",
            "telephone_number": "509-469-7474",
            "fax_number": "509-469-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023851",
            "telephone_number": "509-469-7474",
            "fax_number": "509-469-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WASHINGTON PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-469-7474",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "141704",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7097827",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Cascades Women's Health, PLLC
• Central Wa Oral Health Foundation
• Central Washington Comprehensive Mental Health
• Central Washington Horizon Counseling
• Central Washington Optical, LLC
• Central Washington Podiatry Service PLLC
• Central Washington Podiatry Service PLLC
• Central Washington Podiatry Service PLLC
• Central Washington Sleep Disorders Clinic PC
• Ayannah Cervantes

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.