Foothills Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00009275 Issued in WA

Legal business name

FOOTHILLS PHYSICAL THERAPY LLC

Practice address

102 W Main St
Suite 103
Everson, WA 98247

Phone

(360) 966-4810

Fax

(360) 966-2884

NPI assigned

Jul 17, 2006

Last updated

Nov 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda Carnine, PTNPI 1376808881

Title

Owner

Phone

(406) 531-5918

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 5

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.

• Brian Erik Aasby, D.P.T.

  • Physical Therapist
  • Everson, WA
  • NPI 1679866594
  Medicare reassignment NPD
• Amanda Lee Carnine, DPT

  • Physical Therapist
  • Hermiston, OR
  • NPI 1376808881
  NPD (past) Authorized official
• Marguerite Anne Shepherd, PHYSICAL THERAPIST

  • Physical Therapist
  • Bellingham, WA
  • NPI 1164556171
  NPD (past)
• Brandy Mikel Wilson, PTA

  • Physical Therapy Assistant
  • Everson, WA
  • NPI 1821833328
  NPD (past)
• John Robert Elmer, DPT

  • Physical Therapist
  • Grantsville, UT
  • NPI 1366477093
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1467470658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 702128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841702128",
            "telephone_number": "801-708-7867",
            "fax_number": "801-677-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W MAIN ST",
            "address_2": "SUITE 103",
            "city": "EVERSON",
            "state": "WA",
            "postal_code": "98247",
            "telephone_number": "360-966-4810",
            "fax_number": "360-966-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "CARNINE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-531-5918",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009275",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everson Dental Clinia
• Everson Vision Clinic Incorporated
• Family Care Network PLLC (Everson Family Medicine)
• Family Care Network PLLC (Everson Family Medicine)
• Family Care Network PLLC (Spady Medical Center)
• Trisha Joy Freiberg, LMP
• Abrah Lorena Friberg, BA
• Gimi Remedios Garcia, M.A. ED.
• Leslie Jean Gesner, LM, CPM
• Brian Alexander Gilmore, M.A., M.ED

• Physical Therapist in Everson, WA
• Providers in Everson, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.