Spokane Rehab & Pain Clinic, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

SPOKANE REHAB & PAIN CLINIC, LLC

Practice address

1315 N Division St
Spokane, WA 99202-1899

Phone

(509) 808-6265

Fax

(509) 321-8447

NPI assigned

Dec 21, 2018

Organization subpart

No

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

Authorized official

Name

Kevin Thomas Brick, MS, OT

Title

Owner

Phone

(509) 808-6265

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1477025930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 N DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021899",
            "fax_number": "509-321-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 N DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021899",
            "telephone_number": "509-808-6265",
            "fax_number": "509-321-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE REHAB & PAIN CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "BRICK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-808-6265",
        "authorized_official_credential": "MS, OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.