Organization Active NPI

North Cascades Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Omak, WA
National Provider Identifier
1457657975
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
602995080 Issued in WA
Legal business name
NORTH CASCADES PHYSICAL THERAPY LLC
Practice address
700B Okoma Dr
Omak, WA 98841-9593
Phone
(509) 557-4199
Fax
(866) 299-1497
NPI assigned
Jan 31, 2011
Last updated
Aug 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Dina K Lund, P.T., AT/LNPI 1528086899
Title
Owner/Physical Therapist
Phone
(509) 557-4199

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 Therapy Clinic/Center 261QP2000X 602995080 WA Primary

Addresses

Primary practice location

700B Okoma Dr
Omak, WA 98841-9593

Mailing address

700B Okoma Dr
Omak, WA 98841-9593
Phone (509) 557-4199

Other identifiers 3

IdentifierTypeStateIssuer
G8934909OtherWAMEDICARE
0260667OtherWALABOR AND INDUSTRIES
1528086899OtherWADSHS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141208001297 WA Part B Supplier - Clinic/Group Practice 4082936745 Receives reassigned benefits from 1 practitioner
Practice locations: Omak, WA

National Provider Directory

National Provider Directory

Locations

2590 Elmway
Okanogan, WA 98840
Phone (509) 557-6464

700 Okoma Dr
#B
Omak, WA 98841

700B Okoma Dr
Omak, WA 98841
Phone (509) 557-4199

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": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1457657975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700B OKOMA DR",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419593",
            "telephone_number": "509-557-4199",
            "fax_number": "866-299-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700B OKOMA DR",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419593",
            "telephone_number": "509-557-4199",
            "fax_number": "866-299-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CASCADES PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "509-557-4199",
        "authorized_official_credential": "P.T., AT/L"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "602995080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8934909",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0260667",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "1528086899",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omak, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.