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

Last updated

Dec 21, 2018By 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

Kevin Thomas Brick, MS, OTNPI 1962680959

Title

Owner

Phone

(509) 808-6265

Specialties & licenses 1

Addresses

Locations

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.

• Kevin Thomas Brick, OT

  • Occupational Therapist
  • Spokane, WA
  • NPI 1962680959
  Authorized official Same address or phone

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": []
}

• Spokane Psychiatry and Psychology, P.S.
• Spokane Psychology and Neuropsychology, PS
• Spokane Public Schools District 81
• Spokane Radiology Consultants, PS
• Spokane Regional Health District
• Spokane Resource Group, PLLC
• Spokane River Midwives
• Spokane Royal Park Care, LLC (Royal Park Health and Rehabilitation)
• Spokane Royal Park Retirement, LLC (Royal Park Retirement Center)
• Spokane School District #81

• 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.