NPIMap

Organization Active NPI

Sole Sisters Physical Therapy, LLC

  • Physical Therapist
  • Battle Ground, WA
National Provider Identifier
1487905196
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
603-232-171 Issued in WA
Legal business name
SOLE SISTERS PHYSICAL THERAPY, LLC
Practice address
2312 W Main St
#117
Battle Ground, WA 98604-4234
Phone
(360) 687-7147
Fax
(360) 687-2866
NPI assigned
Sep 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Shannon Mechele Schram, P.T.NPI 1942285226
Title
President
Phone
(360) 687-7147

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 603-232-171 WA Primary

Addresses

Primary practice location

2312 W Main St
#117
Battle Ground, WA 98604-4234

Mailing address

PO Box 972
Battle Ground, WA 98604-0972

Other names 1

  • Battle Ground Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121217000028 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2466604640 Receives reassigned benefits from 4 practitioners
Practice locations: Battle Ground, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1487905196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 972",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986040972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 W MAIN ST",
            "address_2": "#117",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044234",
            "telephone_number": "360-687-7147",
            "fax_number": "360-687-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLE SISTERS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "SCHRAM",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MECHELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-687-7147",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "603-232-171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Battle Ground Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.