Parkside Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT00002713 Issued in WA

Legal business name

PARKSIDE PHYSICAL THERAPY INC

Practice address

201 W North River Dr
Suite 510
Spokane, WA 99201-2284

Phone

(509) 323-0066

Fax

(509) 323-0067

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Carol Lee Reynolds

Title

Owner/Office Manager

Phone

(509) 323-0066

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Scott Reynolds, P.T.

  • Physical Therapist
  • Spokane, WA
  • NPI 1881773422
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457433922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W NORTH RIVER DR",
            "address_2": "SUITE 510",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012284",
            "telephone_number": "509-323-0066",
            "fax_number": "509-323-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W NORTH RIVER DR",
            "address_2": "SUITE 510",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012284",
            "telephone_number": "509-323-0066",
            "fax_number": "509-323-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/OFFICE MANAGER",
        "authorized_official_telephone_number": "509-323-0066",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00002713",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00009180",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7131550",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danica Parkin, ARNP
• Danielle Parks
• Michelle Parks
• Sarah N Parks, LMPC CIMI
• Parkside Physical Therapy Inc
• Parkway Village Spokane Senior Living Care
• Linda K Parman, LMP
• Stephanie Lucille Parnell, DO
• Racheal Meson Parori
• Valentina G Parpalov, RDH

• Physical Therapy Clinic/Center in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.