Active NPI
Michelle Bartlett, PT
- Geriatric Physical Therapist
- Spokane, WA
National Provider Identifier
1457557597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- PT1245
- Practice address
- 4815 N Assembly St
Spokane, WA 99205-6185 - Phone
- (509) 703-3832
- NPI assigned
- Jun 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | PT1245 | ID | Primary |
Addresses
Primary practice location
4815 N Assembly St
Spokane, WA 99205-6185
Mailing address
4815 N Assembly St
Spokane, WA 99205-6185
Other practice location 1
2200 Ironwood Pl
Coeur D Alene, ID 83814-2610
Phone (208) 667-6486
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1245 | ID | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1457557597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 N ASSEMBLY ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992056185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 N ASSEMBLY ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992056185",
"telephone_number": "509-703-3832"
}
],
"practiceLocations": [
{
"address_1": "2200 Ironwood Pl",
"address_purpose": "LOCATION",
"city": "Coeur D Alene",
"state": "ID",
"postal_code": "838142610",
"country_code": "US",
"telephone_number": "208-667-6486",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARTLETT",
"first_name": "MICHELLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "ID",
"license": "PT1245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.