NPIMap

Organization Active NPI

Summit Rehabilitation Associates, PLLC

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1467571513
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUMMIT REHABILITATION ASSOCIATES, PLLC
Practice address
407 E 2ND Ave
Suite 100
Spokane, WA 99202-1428
Phone
(509) 455-6002
Fax
(509) 747-5990
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Robert F Hoctor, OTR/L, ATP, CEES
Title
Owner
Phone
(509) 455-6002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

407 E 2ND Ave
Suite 100
Spokane, WA 99202-1428

Mailing address

407 E 2ND Ave Ste 100
Spokane, WA 99202-1428
Phone (509) 455-6002

Other identifiers 3

IdentifierTypeStateIssuer
115084OtherWALABOR & INDUSTRIES
7087216MedicaidWA
7682131MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040315000178 WA Part B Supplier - Clinic/Group Practice 8325937642 Receives reassigned benefits from 39 practitioners
Practice locations: Spokane, WA; Spokane Valley, WA; Airway Heights, WA
O20100930028327 WA DME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 8325937642 Practice locations: Spokane, WA

National Provider Directory

National Provider Directory

Locations

1590 E Polston Ave
Ste B
Post Falls, ID 83854
Phone (208) 777-4242

822 W Francis Ave
Spokane, WA 99205
Phone (509) 385-0900

Practitioners & affiliated clinicians

Practitioners 85

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1467571513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E 2ND AVE STE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021428",
            "telephone_number": "509-455-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E 2ND AVE",
            "address_2": "SUITE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021428",
            "telephone_number": "509-455-6002",
            "fax_number": "509-747-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT REHABILITATION ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "HOCTOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-455-6002",
        "authorized_official_credential": "OTR/L, ATP, CEES"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "115084",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7087216",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7682131",
            "state": "WA"
        }
    ],
    "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 Aug 7, 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.