NPIMap

Organization Active NPI

Ellensburg Physical Therapy Center Inc

  • Physical Therapist
  • Ellensburg, WA
National Provider Identifier
1457460123
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00003715 Issued in WA
Legal business name
ELLENSBURG PHYSICAL THERAPY CENTER INC
Practice address
707 N Pearl St Ste K
Ellensburg, WA 98926-2938
Phone
(509) 962-2492
Fax
(509) 962-5836
NPI assigned
Aug 29, 2006
Last updated
Oct 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Authorized official

Name
Mr. Chris T DunlopNPI 1487763504
Title
Owner
Phone
(509) 962-3292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00003715 WA Primary

Addresses

Primary practice location

707 N Pearl St Ste K
Ellensburg, WA 98926-2938

Mailing address

4781 Cove Road
Ellensburg, WA 98926-9135
Phone (509) 962-3292

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1457460123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4781 COVE ROAD",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989269135",
            "telephone_number": "509-962-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N PEARL ST STE K",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989262938",
            "telephone_number": "509-962-2492",
            "fax_number": "509-962-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLENSBURG PHYSICAL THERAPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "DUNLOP",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-962-3292",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.