Organization Active NPI

Advanced Rehabilitation Specialties Inc.

  • Physical Therapist
  • Centralia, WA
National Provider Identifier
1457531956
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00005068 Issued in WA
Legal business name
ADVANCED REHABILITATION SPECIALTIES INC.
Practice address
1510 Kresky Ave
Centralia, WA 98531
Phone
(360) 736-0699
Fax
(360) 736-0324
NPI assigned
Nov 13, 2007
Last updated
Aug 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Lorrie A Scheuffele
Title
Clinical Director
Phone
(360) 736-0699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00005068 WA Primary

Addresses

Primary practice location

1510 Kresky Ave
Centralia, WA 98531

Mailing address

PO Box 1410
Centralia, WA 98531-0700
Phone (360) 736-0699

Other practice location 1

1510 Kresky Ave
Centralia, WA 98531
Phone (360) 736-0699

Other identifiers 3

IdentifierTypeStateIssuer
8871358OtherWAMEDICARE PIN
8871311OtherWAMEDICARE GRP. #
0226384OtherWAL&I

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1457531956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1410",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985310700",
            "telephone_number": "360-736-0699",
            "fax_number": "360-736-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 KRESKY AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "98531",
            "telephone_number": "360-736-0699",
            "fax_number": "360-736-0324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 Kresky Ave",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "98531",
            "country_code": "US",
            "telephone_number": "360-736-0699",
            "fax_number": "360-736-0324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED REHABILITATION SPECIALTIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "SCHEUFFELE",
        "authorized_official_first_name": "LORRIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "360-736-0699"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "8871358",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP. #",
            "identifier": "8871311",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0226384",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.