Active NPI
Inspire Physical & Hand Therapy Spokane Inc. P.S.
- Durable Medical Equipment & Medical Supplies
- Spokane Valley, WA
National Provider Identifier
1487811394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- OT00004122
- Legal business name
- INSPIRE PHYSICAL & HAND THERAPY SPOKANE INC. P.S.
- Practice address
- 12410 E Sinto Ave Ste 205
Spokane Valley, WA 99216 - Phone
- (509) 922-5156
- NPI assigned
- May 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shirley Provoznik
- Title
- Administrator
- Phone
- (360) 338-0181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | OT00004122 | WA | Primary |
Addresses
Primary practice location
12410 E Sinto Ave Ste 205
Spokane Valley, WA 99216
Mailing address
12121 E Broadway Ave
BLDG. 6
Spokane Valley, WA 99206-4972
Phone (509) 922-5156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7680325 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Prosthetic/Orthotic Supplier
- Spokane, WA
- NPI 1255598157
O20040316001102
-
- Durable Medical Equipment & Medical Supplies
- Spokane, WA
- NPI 1447417357
O20040316001102
-
- Occupational Therapist
- Spokane, WA
- NPI 1770794471
O20040316001102
National Provider Directory
National Provider DirectoryLocations
12121 E Broadway Ave
Ste 6
Spokane Valley, WA 99206
Phone (509) 922-5156
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hand Occupational Therapist
- Spokane Valley, WA
- NPI 1255321618
-
- Hand Occupational Therapist
- Spokane, WA
- NPI 1912997370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556150400000",
"number": "1487811394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12121 E BROADWAY AVE",
"address_2": "BLDG. 6",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992064972",
"telephone_number": "509-922-5156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12410 E SINTO AVE STE 205",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "99216",
"telephone_number": "509-922-5156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSPIRE PHYSICAL & HAND THERAPY SPOKANE INC. P.S.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-19",
"last_updated": "2019-04-25",
"status": "A",
"authorized_official_last_name": "PROVOZNIK",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "360-338-0181"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WA",
"license": "OT00004122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7680325",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.