Active NPI
Brittany Reid, DPT
- Physical Therapist
- Elma, WA
National Provider Identifier
1437860004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 600 E Main St
Elma, WA 98541-9560 - Phone
- (360) 346-2222
- NPI assigned
- Dec 5, 2022
- 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 Therapy Clinic/Center | 261QP2000X | PT61064243 | WA | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
600 E Main St
Elma, WA 98541-9560
Mailing address
545 N 11TH St
Elma, WA 98541-9049
Phone (253) 820-1877
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | summitpacific.com | summit pacific rehabilitation |
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 |
|---|---|---|---|
| PT61064243 | WA | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1437860004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 N 11TH ST",
"city": "ELMA",
"state": "WA",
"postal_code": "985419049",
"telephone_number": "253-820-1877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E MAIN ST",
"city": "ELMA",
"state": "WA",
"postal_code": "985419560",
"telephone_number": "360-346-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "BRITTANY",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-05",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "WA",
"license": "PT61064243",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "summitpacific.com",
"affiliation": "Y",
"affiliationName": "summit pacific rehabilitation",
"address_1": "600 E Main St",
"city": "Elma",
"state": "WA",
"country_code": "US",
"postal_code": "985419560",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.