NPIMap

Organization Active NPI

Richard M King

  • Physical Therapist
  • Grand Coulee, WA
National Provider Identifier
1477726438
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00003909 Issued in WA
Legal business name
RICHARD M KING
Practice address
321 Burdin Blvd
Grand Coulee, WA 99133-0680
Phone
(509) 633-3260
Fax
(509) 633-3212
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Mr. Richard M King, P.T.
Title
Owner
Phone
(509) 633-3260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT00003909 WA Primary

Addresses

Primary practice location

321 Burdin Blvd
Grand Coulee, WA 99133-0680

Mailing address

PO Box 680
Grand Coulee, WA 99133-0680
Phone (509) 633-3260

Other identifiers 1

IdentifierTypeStateIssuer
7041320MedicaidWA

Other names 1

  • Grand Coulee Physical Therapy Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1477726438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680",
            "city": "GRAND COULEE",
            "state": "WA",
            "postal_code": "991330680",
            "telephone_number": "509-633-3260",
            "fax_number": "509-633-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 BURDIN BLVD",
            "city": "GRAND COULEE",
            "state": "WA",
            "postal_code": "991330680",
            "telephone_number": "509-633-3260",
            "fax_number": "509-633-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M KING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-633-3260",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7041320",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Coulee Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grand Coulee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.