Individual provider Active NPI

Kameron Crosswhite, DPT

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1497301550
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60979086 Issued in WA
Practice address
10258 W Highway 2 Ste 4
Spokane, WA 99224-5459
Phone
(509) 244-9968
Fax
(509) 244-9914
NPI assigned
Aug 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60979086 WA Primary

Addresses

Primary practice location

10258 W Highway 2 Ste 4
Spokane, WA 99224-5459

Mailing address

1111 E Westview CT Ste a
Spokane, WA 99218-1376
Phone (509) 465-1749

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190930001487 WA Practitioner - Physical Therapist in Private Practice 9133459498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Physical Therapy PLLCGroup PAC ID 9335374313, 13 clinicians

Practice addresses (Care Compare)

3114 NW Randall Way
Suite D2 a
Silverdale, WA 98383-7676
Phone (360) 625-9161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60979086WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Physical Therapy PLLC CurrentSince Jul 31, 2023 Accepting new patients
Pacific Physical Therapy PLLC CurrentSince Jul 31, 2023 Accepting new patients
B&B Physical Therapy Inc Physical Therapist CurrentSince May 16, 2022 Accepting new patients
Inland Communication & Rehab Associates Past Accepting new patients

Locations

1950 Pottery Ave
Ste 110
Port Orchard, WA 98366
Phone (360) 329-7052

3114 NW Randall Way
Ste D2A
Silverdale, WA 98383
Phone (360) 625-9161

6415 N Monroe St
Spokane, WA 99208
Phone (509) 327-4867

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1497301550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E WESTVIEW CT STE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181376",
            "telephone_number": "509-465-1749",
            "fax_number": "509-465-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10258 W HIGHWAY 2 STE 4",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992245459",
            "telephone_number": "509-244-9968",
            "fax_number": "509-244-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSWHITE",
        "first_name": "KAMERON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60979086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.